A qualitative study on the subjective experience of prolonged care among family members of patients with moderate to severe dementia

Abstract Objectives To explore the family members’ subjective experiences of prolonged care for individuals suffering from moderate to severe dementia and to provide evidence supporting the development of support strategies and precise interventions targeting this group. Methods A purposive sampling...

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Main Authors: Yuhui Wang, Yan Liang, Wei Feng, Xiaoshuang Lu, Yejie Peng, Dezhi Chen
Format: Article
Language:English
Published: BMC 2025-04-01
Series:BMC Palliative Care
Subjects:
Online Access:https://doi.org/10.1186/s12904-025-01738-x
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author Yuhui Wang
Yan Liang
Wei Feng
Xiaoshuang Lu
Yejie Peng
Dezhi Chen
author_facet Yuhui Wang
Yan Liang
Wei Feng
Xiaoshuang Lu
Yejie Peng
Dezhi Chen
author_sort Yuhui Wang
collection DOAJ
description Abstract Objectives To explore the family members’ subjective experiences of prolonged care for individuals suffering from moderate to severe dementia and to provide evidence supporting the development of support strategies and precise interventions targeting this group. Methods A purposive sampling method was used to select family members of patients with moderate to severe dementia within the neurology department of a hospital in Chengdu City for face-to-face in-depth interviews. Data were analyzed using the seven-step analysis of data from the Colaizzi phenomenological study. Results Three main themes were identified in this study: (1) Pressures and burdens faced, (2) Lack of social support, (3) Positive changes. In addition, 11 sub-themes were extracted as the subjective experience of prolonged care among family members of patients with moderate to severe dementia. Conclusion The subjective feelings of families of patients with moderate to severe dementia about prolonged care are complex and specific. Family members face tremendous pressures, still lack social support, and lack coordinated communication among communities, families, and hospitals. In the future, we should learn from the practical experience of prolonged care in foreign countries, fully integrate with China’s national conditions, promote the improvement of the prolonged care system for patients with dementia, accelerate the construction of community-based professional care institutions, gain a deeper understanding of the challenges and needs faced by family members, enhance their experience of care, improve their quality of life, and help the patients and family members to better pass through the stage of moderate-to-severe disease.
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spelling doaj-art-d6ed4bc3fd414ab9802bcbadbdf820972025-08-20T01:47:32ZengBMCBMC Palliative Care1472-684X2025-04-012411910.1186/s12904-025-01738-xA qualitative study on the subjective experience of prolonged care among family members of patients with moderate to severe dementiaYuhui Wang0Yan Liang1Wei Feng2Xiaoshuang Lu3Yejie Peng4Dezhi Chen5Department of Neurology, West China Hospital, Sichuan UniversityDepartment of Neurology, West China Hospital, Sichuan UniversityDepartment of Neurology, West China Hospital, Sichuan UniversityDepartment of Neurology, West China Hospital, Sichuan UniversityDepartment of Neurology, West China Hospital, Sichuan UniversityDepartment of Neurology, West China Hospital, Sichuan UniversityAbstract Objectives To explore the family members’ subjective experiences of prolonged care for individuals suffering from moderate to severe dementia and to provide evidence supporting the development of support strategies and precise interventions targeting this group. Methods A purposive sampling method was used to select family members of patients with moderate to severe dementia within the neurology department of a hospital in Chengdu City for face-to-face in-depth interviews. Data were analyzed using the seven-step analysis of data from the Colaizzi phenomenological study. Results Three main themes were identified in this study: (1) Pressures and burdens faced, (2) Lack of social support, (3) Positive changes. In addition, 11 sub-themes were extracted as the subjective experience of prolonged care among family members of patients with moderate to severe dementia. Conclusion The subjective feelings of families of patients with moderate to severe dementia about prolonged care are complex and specific. Family members face tremendous pressures, still lack social support, and lack coordinated communication among communities, families, and hospitals. In the future, we should learn from the practical experience of prolonged care in foreign countries, fully integrate with China’s national conditions, promote the improvement of the prolonged care system for patients with dementia, accelerate the construction of community-based professional care institutions, gain a deeper understanding of the challenges and needs faced by family members, enhance their experience of care, improve their quality of life, and help the patients and family members to better pass through the stage of moderate-to-severe disease.https://doi.org/10.1186/s12904-025-01738-xModerate to severe dementiaFamily membersProlonged careQualitative researchSubjective experience
spellingShingle Yuhui Wang
Yan Liang
Wei Feng
Xiaoshuang Lu
Yejie Peng
Dezhi Chen
A qualitative study on the subjective experience of prolonged care among family members of patients with moderate to severe dementia
BMC Palliative Care
Moderate to severe dementia
Family members
Prolonged care
Qualitative research
Subjective experience
title A qualitative study on the subjective experience of prolonged care among family members of patients with moderate to severe dementia
title_full A qualitative study on the subjective experience of prolonged care among family members of patients with moderate to severe dementia
title_fullStr A qualitative study on the subjective experience of prolonged care among family members of patients with moderate to severe dementia
title_full_unstemmed A qualitative study on the subjective experience of prolonged care among family members of patients with moderate to severe dementia
title_short A qualitative study on the subjective experience of prolonged care among family members of patients with moderate to severe dementia
title_sort qualitative study on the subjective experience of prolonged care among family members of patients with moderate to severe dementia
topic Moderate to severe dementia
Family members
Prolonged care
Qualitative research
Subjective experience
url https://doi.org/10.1186/s12904-025-01738-x
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