Ta Park Van, Nguyen Khue, Tran Yvonne, Yeo Gwen, Tiet Quyen, Suen Joyce, Gallagher-Thompson Dolores
a Department of Community Health Systems, School of Nursing , University of California at San Francisco , San Francisco , California , USA.
b Department of Health Science & Recreation, San Jose State University , San Jose , California , USA.
Clin Gerontol. 2018 May-Jun;41(3):184-199. doi: 10.1080/07317115.2018.1432734. Epub 2018 Feb 8.
Little is known about dementia and caregiving among the rapidly growing Vietnamese American population. This qualitative study elicited insights on culturally tailoring an intervention to address mental health needs in Vietnamese American dementia caregivers from Vietnamese American mental health professionals.
Eight Vietnamese American mental health professionals were interviewed to explore: experiences working with and needs of the community; Vietnamese attitudes toward treatment; and acculturation in Vietnamese caregiving. Participants provided recommendations on tailoring a program for Vietnamese dementia caregivers. Content analysis of their responses was conducted.
Themes included: a) caregivers' unique needs and experiences; b) different waves of immigration and acculturation levels affect views on mental health, treatment, and caregiving; c); traditions and beliefs on caregiving; d) mental health, help-seeking and health services; e) how to culturally tailor a program for Vietnamese dementia caregivers; and f) cultural acceptance of the program.
An intervention to reduce stress and depression among Vietnamese American dementia caregivers should recognize the special risks of the experiences of war and immigration of the caregivers as well as the pressure of the expectations of the Vietnamese culture on family care. For the program to be acceptable and effective, it needs to consider all aspects of caregivers' health, and incorporate Vietnamese cultural values/beliefs.
A successful Vietnamese dementia caregiver intervention should include traditional Vietnamese values/beliefs, holistic experiences, spirituality, and background/immigration experiences. Evidence-based programs may be used with this population if they are culturally tailored.
在快速增长的美籍越南人群体中，关于痴呆症和护理的了解甚少。这项定性研究从美籍越南心理健康专业人员那里获取了有关如何在文化层面上定制一项干预措施，以满足美籍越南痴呆症护理者心理健康需求的见解。
对8名美籍越南心理健康专业人员进行了访谈，以探讨：与该社区合作的经历及社区需求；越南人对治疗的态度；以及越南护理中的文化适应情况。参与者就为越南痴呆症护理者定制项目提供了建议。对他们的回答进行了内容分析。
主题包括：a）护理者的独特需求和经历；b）不同的移民浪潮和文化适应水平影响对心理健康、治疗和护理的看法；c）护理方面的传统和信仰；d）心理健康、寻求帮助和健康服务；e）如何在文化层面上为越南痴呆症护理者定制项目；f）该项目的文化接受度。
一项旨在减轻美籍越南痴呆症护理者压力和抑郁的干预措施，应认识到护理者战争和移民经历带来的特殊风险，以及越南文化对家庭护理期望所带来的压力。为使该项目可接受且有效，需要考虑护理者健康的各个方面，并纳入越南文化价值观/信仰。
一项成功的越南痴呆症护理者干预措施应包括传统越南价值观/信仰、整体经历、精神层面以及背景/移民经历。如果基于证据的项目经过文化层面的定制，可用于这一人群。
