Anngela-Cole Linda, Busch Mandee
School of Social Work, University of Nevada--Reno, Reno, Nevada 89557-0068, USA.
J Soc Work End Life Palliat Care. 2011;7(4):318-37. doi: 10.1080/15524256.2011.623460.
In this study the authors investigated stress, anticipatory mourning, and cultural practices among family caregivers from independent and interdependent cultural groups. Focus groups were used to collect data from 56 caregivers providing care to family members with terminal cancer, representing four cultural groups in Hawai'i: Chinese, European Americans, Japanese, and Native Hawaiians. Participants from all four cultural groups identified similar stressors and agreed that support groups helped them cope with the stresses and sadness they were experiencing and differed in culturally based motivations for caregiving, perceived roles, and processing of grief. The findings of this study indicated a need for additional conceptual models of the caregiving trajectory and more culturally sensitive strategies, particularly indirect methods, for working with diverse populations of caregivers.
在本研究中，作者调查了来自独立文化群体和相互依存文化群体的家庭照顾者的压力、预期性哀伤及文化习俗。焦点小组用于从56名照顾晚期癌症家庭成员的照顾者那里收集数据，这些照顾者代表了夏威夷的四个文化群体：华人、欧裔美国人、日本人及夏威夷原住民。来自所有四个文化群体的参与者都识别出了相似的压力源，并一致认为支持小组帮助他们应对了正在经历的压力和悲伤，且在基于文化的照顾动机、感知角色及悲伤处理方面存在差异。本研究的结果表明，需要有更多关于照顾轨迹的概念模型以及更具文化敏感性的策略，尤其是间接方法，来与不同的照顾者群体合作。
