Samson Zoe Blake, Parker Monica, Dye Clinton, Hepburn Kenneth
Nell Hodgson Woodruff School of Nursing, Emory University, Atlanta, GA, USA
Department of Neurology, Emory University, Atlanta, GA, USA.
Am J Alzheimers Dis Other Demen. 2016 Sep;31(6):492-501. doi: 10.1177/1533317516628518. Epub 2016 Mar 6.
Dementia family caregivers display significant rates of psychological and physical symptoms. African Americans (AAs) are disproportionately affected by dementia. African American caregivers display unique patterns of symptomology and responses to interventions designed to promote caregiver well-being. This study analyzed qualitative focus group data from 32 AA caregivers to explore how issues of race and culture may be incorporated into a culturally sensitive intervention for AA dementia family caregivers. Caregivers were asked scripted questions about their caregiving experiences and to suggest alterations to an existing psychoeducation program. Analysis revealed 4 key themes: the tradition of family care, caregiving and caregiving issues, culturally appropriate care, and navigating without a map. Suggestions for an educational program included a focus on developing caregiver skills and knowledge for caregiving, promotion of self-care, and reflection on the AA family and community as resources for care.
痴呆症患者的家庭护理人员出现心理和身体症状的比例很高。非裔美国人(AA)受痴呆症影响的比例过高。非裔美国护理人员表现出独特的症状模式以及对旨在促进护理人员福祉的干预措施的反应。本研究分析了32名非裔美国护理人员的定性焦点小组数据,以探讨如何将种族和文化问题纳入针对非裔美国痴呆症家庭护理人员的文化敏感干预措施中。向护理人员询问了有关其护理经历的书面问题,并要求他们对现有的心理教育计划提出修改建议。分析揭示了4个关键主题:家庭护理传统、护理及护理问题、文化上合适的护理以及无章可循。对教育计划的建议包括侧重于培养护理人员护理方面的技能和知识、促进自我护理以及思考将非裔美国家庭和社区作为护理资源。