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文化和语言背景各异的老年人与主流长期护理机构:观点与经历的综合综述

Culturally and Linguistically Diverse Older Adults and Mainstream Long-Term Care Facilities: Integrative Review of Views and Experiences.

作者信息

Montayre Jed, Montayre Jasmine, Thaggard Sandra

出版信息

Res Gerontol Nurs. 2018 Sep 1;11(5):265-276. doi: 10.3928/00989134-20180629-02. Epub 2018 Jul 11.

Abstract

Older adults from culturally and linguistically diverse (CALD) backgrounds are increasingly identified within mainstream aging populations. However, few studies have focused on CALD older adults' views and experiences in long-term care facilities (LTCFs). The current integrative review aimed to achieve a contemporary understanding through synthesized evidence from studies focusing on CALD older adults in mainstream LTCFs. Two major categories were identified-Views About LTCFs, which included two subcategories: (a) the last stop and no other choice and (b) reasons for admission or transfer; and Experiences of Living in LTCFs, which also included two subcategories: (a) desire to remain connected to personal routines and (b) maintaining identity through native language. CALD older adults have differing perspectives about LTCFs, which are influenced by their cultural backgrounds and values. Future research should evaluate the effectiveness of ethno-specific LTCFs. Establishing culturally appropriate services for CALD older adults in LTCFs, particularly in mainstream facilities, should emphasize cultural accommodation among residents, health care providers, and staff. [Res Gerontol Nurs. 2018; 11(5):265-276.].

摘要

来自文化和语言背景多元(CALD)的老年人在主流老年人群体中越来越多地被识别出来。然而,很少有研究关注CALD老年人在长期护理机构(LTCF)中的观点和经历。当前的综合综述旨在通过对关注主流LTCF中CALD老年人的研究的综合证据,达成当代的理解。确定了两个主要类别——对LTCF的看法,其中包括两个子类别:(a)最后一站且别无选择,以及(b)入院或转院原因;以及在LTCF中的生活经历,这也包括两个子类别:(a)希望保持与个人日常习惯的联系,以及(b)通过母语保持身份认同。CALD老年人对LTCF有不同的看法,这受到他们的文化背景和价值观的影响。未来的研究应该评估特定族裔的LTCF的有效性。在LTCF中,尤其是在主流机构中,为CALD老年人建立适合文化背景的服务,应该强调居民、医疗保健提供者和工作人员之间的文化包容。[《老年护理杂志》。2018年;11(5):265 - 276。]

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