Lived Experience of Older Women Caring for Frail Dependent Elderly Spouses

Main Article Content

Pantamon Suparee
Jiraporn Kespichayawattana

Abstract

This research aimed to study the lived experience of older women caring for a frail, dependent elderly spouse using the qualitative research method and phenomenology of Martin Heidegger. The key informants were 14 older women who were the main caregivers of a frail, dependent elderly spouse, selected through the purposive sampling method. The data were collected through an in-depth interview, observation, notes, and tape recordings. The data were then transcribed using verbatim transcription and analyzed using content analysis. The results indicated that the meanings of being a caregiver to a frail, dependent elderly spouse provided by the informants could be divided into two points: 1) taking care with deep connection and 2) taking care because they had been through difficulties together. It was also found that the experience of older women caring for a frail, dependent elderly spouse could be categorized into three themes, which were 1) life changed, 2) acceptance and learning of being caregivers, and 3) being a caregiver in the context of being a wife. The findings of this study could lead to an understanding of lived experiences of older women caring for a frail, dependent elderly spouse and serve as guidelines to help wives who take care of a frail, dependent elderly spouse for efficient care.
Keywords: Lived experience, Older women, Dependent, Elderly spouse

Downloads

Download data is not yet available.

Article Details

How to Cite
1.
Suparee P, Kespichayawattana J. Lived Experience of Older Women Caring for Frail Dependent Elderly Spouses. Rama Nurs J [Internet]. 2022 Aug. 23 [cited 2023 Feb. 5];28(2). Available from: https://he02.tci-thaijo.org/index.php/RNJ/article/view/249070
Section
บทความวิจัย

References

Nation Statistical Office. The 2014 survey of the older person in Thailand. Bangkok: Text and Journal Publication; 2014. (in Thai)

Chokwiwat W, Caring for the dependent elderly; 2017[cited 2017 March 7]. Available from Thaihealth Website:

http://www.thaihealth.or.th/Content/35697.html (in Thai)

Foundation of Thai Gerontology Research and Development.Situation of the Thai Elderly 2016. Nakhon Prathom:Printery; 2017. (in Thai)

Sihapark S, Chuengsatiansup K, Tengrang K. The burden and impact of long–term care for the elderly in Thailand. Bangkok:

Health Systems Research Institute (HSRI); 2013. (in Thai)

Economic and Social Council. Overview of trends in population ageing and related institutional responses in Asia and the Pacific; 2017 [cited 2017 October 21]. Available from ESCAP Web site: https://mipaa.unescapsdd.org/files/documents/E_ESCAP_MIPAA_IGM.2_29.PDF

Foundation of Thai Gerontology Research and Development.Situation of the Thai Elderly 2017. Bangkok: October Print; 2018. (in Thai)

Kasemkitwattana S, Investigate adjustment problems faced by stroke patients’ family caregivers. Thai Journal of Nursing

Council. 2014;29(4):22-31. (in Thai)

Montrikul Na Ayudhaya B. The role of women in Thai society.Governance Journal. 2017;5(2):23-37.

Phulsawat A. Changes in the elderly; 2017 [cited 2017 November 23]. Available from Mahidol Web site: http://

www.gj.mahidol.ac.th/th/wp-content/uploads/conference/2560/chnge.pdf (in Thai)

Coombs UE. Spousal caregiving for stroke survivors. J Neurosci Nurs. 2007;39(2):112-9.

Rosland A, Heisler M, Choi H. Family influences on selfmanagement among functionally independent adults with diabetes or heart failure: do family members hinder as much as they help?. Chronic Illn. 2010;6(1):22-33.

Kim Y, Carver CS, Shaffer KM, Gansler T, Cannady RS. Cancer caregiving predicts physical impairments: roles of earlier

caregiving stress and being a spousal caregiver. Cancer.2016;121(2):302-10.

Smith CE, Piamjariyakul U, Yardrich DM, Ross VM, Gajewski B, William AR. Complex homecare: part3-economic impact on family caregiver quality of life and patients, clinical outcome.Nurs Econ. 2012;28(6):393-414.

Chaowararak N, Soonthornchaiya R. Experiences of elderly caregivers in caring for elderly depressed patients. Journal

of Psychiatric Nursing and Mental Health. 2016;39(7):110-22. (in Thai)

Kitko LA, Hupcey JE. The work of spousal caregiving of older adults with end-stage heart failure. J Gerontol Nurs.2013;39(7):40-7.

Longphasuk N, Monkong S, Sirapo-ngam Y. Health conditions and self-care activities of older caregivers caring for bedridden older adults. Thai Journal of Nursing Council.2018;33(2):97-109. (in Thai)

Rattanawimol C. Role strain of family caregivers of dependent elderly: a case study of the municipality of Sukhothai province.

[thesis]. Bangkok: Chulalongkorn University; 2002.(in Thai)

Heidegger M. The Oxford Handbook of Process Philosophy and Organization Studies. England: Oxford University Press; 1889.

Phothisita C. Qualitative research. 7th ed. Bangkok: Amarin Printing; 2016. (in Thai)

Jitapunkul S. Dependence in the elderly. In: Jitapunkul S,editors. National health examination survey in 1996-1997.Bangkok: Organization for the delivery of goods and materials;1996. p.142-50. (in Thai)

Saengmane S, Arpanantikul M, Sirapo-ngam Y. A case study:adaptation of a working caregiver to a stroke patient. Ramathibodi

Nursing Journal. 2012;18(1):119-33. (in Thai)

Dudovskiy J. Apple value chain analysis; 2018 [cited 2018 February 23]. Available from Business research methodology

Web site: http://research-methodology.net/applevalue-chain-analysis/

Guba EG, Lincoln YS. Completing paradigm in qualitative research. Thousand Oaks: CA; 1994.

Watson J. Nursing: human science and human care: a theory of nursing. Norwalk, Connecticut: Appletion-Century-Crofts; 1985.

Mesri K, Selected factors related to dependent care agency among caregivers of schizophrenic patients in community.

[thesis]. Bangkok: Chulalongkorn; 2011. (in Thai)

Jungbauer J, Dietrich S. The disregarded caregivers:subjective burden in spouses of schizophrenia patients.Schizophr Bull. 2004;30(3):665-75.

Bumpemphol K. Social support in patients with schizophrenia. Journal of Psychiatric Association of Thailand. 2013;58(1):89-100. (in Thai)

Lawn S, McMahon J. The importance of relationship in understanding the experiences of spouse mental health carers. Qual Health Res. 2014;24(2):254-66.

Lindau ST, Surawska H, Paice J, Baron SR. Communication about sexuality and intimacy in couples affected by lung cancer and their clinical‐care providers. Psychooncology.2011;20(2):179-85.

Family Caregiver Alliance[Internet]. Caregiving for a Spouse-social, emotional and physical issues; 2012[update 2019 May 13; cited 2019 Jan 6]. Available from:https://www.caregiver.org/news/caregiving-spousesocial-emotional-and-physical-issues/

Shim B, Barroso J, Davis LL. A comparative qualitative analysis of stories of spousal caregivers of people with dementia: negative, ambivalent, and positive experiences.Int J Nurs Stud. 2012;49(2):220-9.

Hiew DN, Halford WK, Vijver FJ, Liu S. Relationship standards and satisfaction in Chinese, Western, and intercultural Chinese–Western couples in Australia.J Cross-Cult Psychol. 2015;46(5):684-701.

Clayton M, Christensen KD, James A. How will you measure your life?. 3rd ed. Bangkok: Nation Books;2012.