Choi Sarah E, Lee Jennifer J, Park Jenny J, Sarkisian Catherine A
Res Gerontol Nurs. 2015 Mar-Apr;8(2):94-104. doi: 10.3928/19404921-20141120-01. Epub 2014 Dec 14.
The authors of the current article investigated domains of spousal support among diabetic Korean older adults and their spouses. Two focus groups were conducted with diabetic participants from the greater Los Angeles Korean community, and three were conducted with their spouses. In the focus groups, participants were asked to describe the spousal support given or received for diabetes self-management. Each group comprised four to nine participants. Focus groups were audiotaped, transcribed, and translated; two independent coders identified domains of spousal support. Content analysis identified six domains: diet, exercise, emotional support, medical regimen, communication with clinicians, and information. Diet was the most frequently described domain across all groups. Gender differences were noted in domains of information, communication, and medical regimen among diabetic participants. Both diabetic and spouse participants identified individualizing spousal support and recognizing diabetes management as teamwork as important elements of successful spousal support. Spousal support education for Korean older adults may have the greatest impact by incorporating these six domains, addressing gender differences, providing tips on individualizing support, and cultivating teamwork.
本文作者调查了患有糖尿病的韩国老年人及其配偶之间的配偶支持领域。对来自大洛杉矶韩国社区的糖尿病患者进行了两个焦点小组访谈，对他们的配偶进行了三个焦点小组访谈。在焦点小组中，参与者被要求描述在糖尿病自我管理方面给予或接受的配偶支持。每个小组由四至九名参与者组成。焦点小组访谈进行了录音、转录和翻译；两名独立的编码员确定了配偶支持的领域。内容分析确定了六个领域：饮食、运动、情感支持、医疗方案、与临床医生的沟通以及信息。饮食是所有小组中被描述最频繁的领域。在糖尿病患者的信息、沟通和医疗方案领域发现了性别差异。糖尿病患者和配偶参与者都认为，使配偶支持个性化以及将糖尿病管理视为团队合作是成功的配偶支持的重要因素。通过纳入这六个领域、解决性别差异、提供支持个性化的提示以及培养团队合作，对韩国老年人的配偶支持教育可能会产生最大影响。
