Arizona State University College of Nursing and Health Innovation, Phoenix, AZ, USA.
J Fam Nurs. 2012 Nov;18(4):439-66. doi: 10.1177/1074840712450210. Epub 2012 Jun 26.
La familia drives elder care in Mexican-American (MA) families, but nursing home placement can result from day-to-day caregiving demands that increase caregiver difficulty with activities of daily living (ADLs). Using life course perspective, this article describes the initial data wave of 31 MA caregivers from a descriptive, longitudinal, mixed-methods study of 110 MA caregivers and care recipients over 15 months in their caregiving trajectories. Fifteen of 31 caregivers consistently indicated "no help needed" on the Katz ADL, whereas all but one reported "help needed" during semistructured interviews with cultural brokers. In addition to the discrepancy between results on the Katz ADL and interviews, findings include consideration of nursing home placement by moderately acculturated caregivers and minimization of their illnesses by caregivers. Additional methods of MA caregiver assessment may be needed due to the questionable accuracy of the Katz ADL; additional research should explore minimization and acculturation in MA caregivers.
家庭在墨西哥裔美国（MA）家庭中推动老年人护理，但养老院的安置可能是由于日常护理需求增加，导致照顾者在日常生活活动（ADL）方面更加困难。本文从生命历程的角度出发，描述了一项针对 110 名 MA 照顾者和照顾对象的描述性、纵向、混合方法研究的最初数据波，该研究在 15 个月的时间里对他们的照顾轨迹进行了研究。在 Katz ADL 上，31 名照顾者中有 15 名始终表示“不需要帮助”，而在与文化经纪人的半结构化访谈中，除了一名之外，所有人都表示“需要帮助”。除了 Katz ADL 和访谈结果之间的差异外，研究结果还包括中度融入的照顾者对养老院安置的考虑以及照顾者对其疾病的最小化。由于 Katz ADL 的准确性存在疑问，可能需要对 MA 照顾者进行其他评估方法；应进一步研究 MA 照顾者的最小化和融入问题。
