Crist Janice D, Kim Suk-Sun, Pasvogel Alice, Velázquez José H
College of Nursing, The University of Arizona, Tucson, AZ 85721-0203, USA.
Appl Nurs Res. 2009 Feb;22(1):26-34. doi: 10.1016/j.apnr.2007.03.002.
Mexican American (MA) elders are more functionally impaired at younger ages than other elders yet use home care services (HCS) less. To determine the possible reasons, nine questionnaires were completed in Spanish or English by MA elders and caregivers living in southern Arizona (N = 280). Contextual, personal, and attitudinal factors were significantly associated with the use of HCS, and cultural/ethnic factors were significantly associated with confidence in HCS. Interventions should be designed and tested to increase the use of HCS by MA elders by increasing service awareness and confidence in HCS while preserving the expectations of familism and reducing caregiving burden.
墨西哥裔美国(MA)老年人在较年轻时比其他老年人功能受损更严重,但使用家庭护理服务(HCS)的比例更低。为了确定可能的原因,居住在亚利桑那州南部的MA老年人及其照顾者用西班牙语或英语完成了九份问卷(N = 280)。背景、个人和态度因素与HCS的使用显著相关,文化/种族因素与对HCS的信心显著相关。应设计并测试干预措施,通过提高对HCS的服务意识和信心,同时保留家庭主义期望并减轻照顾负担,来增加MA老年人对HCS的使用。