Crist Janice D, McEwen Marylyn Morris, Herrera Angelica P, Kim Suk-Sun, Pasvogel Alice, Hepworth Joseph T
College of Nursing, The University of Arizona, Tucson, AZ 85721-0203, USA.
Res Theory Nurs Pract. 2009;23(3):165-80. doi: 10.1891/1541-6577.23.3.165.
Caregiving burden has been shown to predict use of home care services among Anglo Americans. In a previous study, only one of two dimensions of caregiving burden predicted such use among Mexican American caregivers. Because acculturation and familism may affect burden, we conducted analyses to test three hypotheses: increased acculturation decreases familism; decreased familism increases burden; and increased burden increases use of home care services. Among 140 Mexican American family caregivers, acculturation was positively correlated with familism; familism was not significantly correlated with burden; objective burden was positively correlated with use of home care services, and objective and subjective burden significantly interacted in their effect on the use of home care services. Targeted interventions may be needed to increase use of home care services and preserve the well-being of Mexican American elders and caregivers.
研究表明，照顾负担能够预测英裔美国人对家庭护理服务的使用情况。在之前的一项研究中，照顾负担的两个维度中只有一个能够预测墨西哥裔美国照顾者对家庭护理服务的使用情况。由于文化适应和家庭主义可能会影响照顾负担，我们进行了分析以检验三个假设：文化适应程度的提高会降低家庭主义；家庭主义的降低会增加照顾负担；照顾负担的增加会增加对家庭护理服务的使用。在140名墨西哥裔美国家庭照顾者中，文化适应与家庭主义呈正相关；家庭主义与照顾负担无显著相关性；客观照顾负担与家庭护理服务的使用呈正相关，且客观照顾负担和主观照顾负担在对家庭护理服务使用的影响上存在显著交互作用。可能需要采取有针对性的干预措施来增加家庭护理服务的使用，并维护墨西哥裔美国老年人和照顾者的福祉。
