Kong Eun-Hi
College of Nursing, Seoul National University, Korea (ROK).
Taehan Kanho Hakhoe Chi. 2007 Mar;37(2):213-20. doi: 10.4040/jkan.2007.37.2.213.
The purpose of this review is to explore cultural influences on the experiences of Korean, Korean American, and Caucasian American family caregivers caring for frail older adults in terms of the selection of a primary caregiver, caregiving motivation, support/help-seeking, and negative emotional responses(depression and burden).
Seven electronic databases were searched to retrieve studies from 1966 to 2005. Thirty-two studies were identified.
This review supported cultural influences on the selection of primary caregiver, caregiving motivation, and support/help-seeking among the three caregiver groups. In Korean caregivers, the major primary caregivers were daughters-in-law while among Korean American and Caucasian American caregivers, the major primary caregivers were daughters or spouses. As a major caregiving motivation, Caucasian American caregivers reported filial affection while Korean caregivers and Korean American caregivers reported filial obligation. Korean caregivers reported higher extended family support, while Caucasian American caregivers reported higher utilization of formal support. Korean caregivers showed the highest levels of depression followed by Korean American caregivers and Caucasian American caregivers.
In order to develop culturally appropriate interventions and policies, more research is needed to further explain these differences among the three groups, especially regarding support/help-seeking and negative emotional responses.
本综述旨在探讨文化对韩裔、韩裔美国人和高加索裔美国家庭照顾者照顾体弱老年人经历的影响，涉及主要照顾者的选择、照顾动机、支持/寻求帮助以及负面情绪反应（抑郁和负担）。
检索了七个电子数据库，以获取1966年至2005年的研究。共识别出32项研究。
本综述支持文化对三组照顾者在主要照顾者选择、照顾动机以及支持/寻求帮助方面的影响。在韩裔照顾者中，主要照顾者是儿媳，而在韩裔美国人和高加索裔美国家庭照顾者中，主要照顾者是女儿或配偶。作为主要的照顾动机，高加索裔美国家庭照顾者提到孝顺之情，而韩裔照顾者和韩裔美国照顾者提到孝顺义务。韩裔照顾者报告得到大家庭的支持更多，而高加索裔美国家庭照顾者报告更多地利用正式支持。韩裔照顾者的抑郁程度最高，其次是韩裔美国照顾者和高加索裔美国家庭照顾者。
为了制定符合文化背景的干预措施和政策，需要更多研究来进一步解释这三组之间的差异，特别是在支持/寻求帮助和负面情绪反应方面。
