Crist Janice D, Speaks Patricia
ENCASA Research Project, College of Nursing, The University of Arizona, Tucson, AZ, USA.
Home Healthc Nurse. 2011 May;29(5):282-90. doi: 10.1097/NHH.0b013e3182173859.
Mexican American elders are more functionally impaired and chronically ill than Anglo elders, yet use home care services less. The purpose of this study was to describe the cultural norms that influence Mexican American elders and their caregivers not to use home care services. A secondary analysis using descriptive ethnography was conducted. Thematic analysis was used to analyze Mexican American elders' (N = 4) and family caregivers' (N = 3) individual interviews. The overall finding was the category, "We Take Care of our Own!" This finding represented how Mexican American families faced increasing needs of elders at home in the context of their cultural norm of familism. The cultural findings, "Taking Care of Our Own!" were similar to those by elders who had chosen to use home care services in a previous study. Recognizing the importance of this norm, which is central to the culture, may shape interdisciplinary interventions that support traditional Mexican American family values, yet bring skilled or supportive help into the home. Interventions to increase the use of home care services by Latino families can contribute solutions to the national agenda to reduce healthcare disparities.
墨西哥裔美国老年人比英裔老年人在功能上受损更严重且慢性病更多，但他们使用家庭护理服务的频率更低。本研究的目的是描述影响墨西哥裔美国老年人及其照顾者不使用家庭护理服务的文化规范。采用描述性人种学进行了二次分析。运用主题分析法对4名墨西哥裔美国老年人和3名家庭照顾者的个人访谈进行了分析。总体发现是“我们自己照顾自己！”这一类别。这一发现体现了在家庭主义文化规范背景下，墨西哥裔美国家庭如何面对家中老年人日益增长的需求。文化研究结果“照顾我们自己！”与之前一项研究中选择使用家庭护理服务的老年人的结果相似。认识到这一规范在文化中的核心重要性，可能会形成跨学科干预措施，既支持传统的墨西哥裔美国家庭价值观，又能将专业或支持性帮助引入家庭。增加拉丁裔家庭使用家庭护理服务的干预措施可为减少医疗保健差距的国家议程提供解决方案。
