Neary Susan R, Mahoney Diane Feeney
Graduate Nursing Program, Simmons College, Boston, USA.
J Transcult Nurs. 2005 Apr;16(2):163-70. doi: 10.1177/1043659604273547.
The purpose of this study was to explore the phenomenon of dementia caregiving in an ethnically diverse group of Latino caregivers, with the goal of identifying cultural influences on the caregiving experience. This qualitative, descriptive, cross-sectional study used Leininger's ethnonursing approach. There were more similarities than differences in this multiethnic sample of Latino caregivers in understanding of dementia symptoms, beliefs about the caregiving role, and in the factors affecting ongoing care. A lack of knowledge about dementia, rather than culturally influenced beliefs, was the major deterrent to recognition of initial symptoms. Participants viewed family-centered home care as a culturally embedded value but were willing to consider placement when home care became impractical. Providers need to understand the ways in which caregivers must negotiate the tension between cultural beliefs and the demands of their individual circumstances.
本研究的目的是在一个种族多样的拉丁裔照护者群体中探索痴呆症照护现象,目标是确定文化对照护体验的影响。这项定性、描述性横断面研究采用了莱宁格的民族护理方法。在这个拉丁裔照护者的多民族样本中,他们在对痴呆症症状的理解、对照护角色的信念以及影响持续照护的因素方面,相似之处多于差异。对痴呆症知识的缺乏,而非受文化影响的信念,是识别初始症状的主要障碍。参与者将以家庭为中心的居家照护视为一种文化内在价值,但当居家照护变得不切实际时,他们愿意考虑安置。提供者需要了解照护者在文化信念与个人情况需求之间进行权衡的方式。