Lawrence Vanessa, Murray Joanna, Samsi Kritika, Banerjee Sube
Institute of Psychiatry, London SE5 8AF, UK.
Br J Psychiatry. 2008 Sep;193(3):240-6. doi: 10.1192/bjp.bp.107.045187.
Family carers are the most important source of dementia care, especially among ethnic minority populations, who are less likely to access health or social services. The evidence base on the carer experience in these communities is profoundly limited.
To explore the caregiving attitudes, experiences and needs of family carers of people with dementia from the three largest ethnic groups in the UK.
A qualitative study, using a grounded theory approach. Indepth individual interviews were conducted with 32 carers of people with dementia (10 Black Caribbean, 10 south Asian, 12 White British).
Carers were identified as holding a 'traditional' or 'non-traditional' caregiver ideology, according to whether they conceptualised caregiving as natural, expected and virtuous. This informed feelings of fulfilment, strain, carers' fears and attitudes towards formal services. The majority of the south Asian, half of the Black Caribbean and a minority of the White British participants were found to possess a traditional ideology.
The findings suggest that specific cultural attitudes towards the caregiving role have important implications for how carers can best be supported.
家庭照料者是痴呆症护理的最重要来源,在少数民族群体中尤其如此,他们获得医疗或社会服务的可能性较小。关于这些社区中照料者经历的证据基础极为有限。
探讨英国三大主要种族中痴呆症患者家庭照料者的照料态度、经历和需求。
采用扎根理论方法进行定性研究。对32名痴呆症患者的照料者(10名加勒比黑人、10名南亚人、12名英国白人)进行了深入的个人访谈。
根据照料者是否将照料视为自然、预期和高尚的行为,他们被确定为持有“传统”或“非传统”的照料者观念。这影响了他们的成就感、压力感、照料者的恐惧以及对正规服务的态度。研究发现,大多数南亚参与者、一半的加勒比黑人参与者和少数英国白人参与者持有传统观念。
研究结果表明,对照料角色的特定文化态度对于如何最好地支持照料者具有重要意义。