Graduate School of Business, University of Cape Town, Cape Town, South Africa,
Graduate School of Business, University of Cape Town, Cape Town, South Africa.
Dement Geriatr Cogn Disord. 2019;48(5-6):261-270. doi: 10.1159/000505833. Epub 2020 Feb 18.
The feelings and beliefs of some social groups sharing the same values about formal care institutions impacts their likelihood of using such services. Socialisation theory posits that there should not be any difference in attitudes towards formal care in the Muslim community, as they are influenced by the principles of Confucianism. However, demographic, epistemological, and socio-economic trends, as well as globalisation, may be impacting the efficacy of caring for people with dementia (PWD) at home.
This study examines the affective and cognitive attitudes of South African Muslims towards formal care, and whether they vary according to family structure and experience with informal dementia care.
We conducted a survey, administered in the form of an online questionnaire, of Muslim families across each of the 9 provinces of South Africa. The topics addressed included the demographics of the respondents, whether they had experience with informal dementia care, the structure of their family, and affective and cognitive attitudinal variables.
422 responses were analysed, with the results demonstrating negative attitudes across family structures and experience with informal dementia care. This indicates that the changes brought about by economic development and globalisation are not impacting the social influence of the Islam religion towards caregiving.
With up to 90% of PWD moving into formal care before they die in some countries, governments and other service providers of formal care need to provide culturally congruent care. There is also a need to build relationships with minority social groups that are not cared for by geriatric service organisations (governmental and non-governmental) in order to break down the negative attitudes that families have about formal care, and provide the families caring for PWD at home with coping strategies and support programmes to enhance the caregiving experience.
具有相同正规护理机构价值观的某些社会群体的感受和信念会影响他们使用这些服务的可能性。社会化理论认为，穆斯林群体对正规护理的态度不应有任何差异，因为他们受到儒家思想原则的影响。然而，人口统计学、认识论和社会经济趋势以及全球化可能会影响在家中照顾痴呆症患者 (PWD) 的效果。
本研究考察了南非穆斯林对正规护理的情感和认知态度，以及他们的态度是否因家庭结构和非正式痴呆症护理经验而异。
我们对南非 9 个省的穆斯林家庭进行了一项调查，以在线问卷的形式进行。调查主题包括受访者的人口统计学特征、他们是否有非正式痴呆症护理经验、家庭结构以及情感和认知态度变量。
分析了 422 份回复，结果表明，在家庭结构和非正式痴呆症护理经验方面，态度均为负面。这表明，经济发展和全球化带来的变化并没有影响伊斯兰教对护理的社会影响。
在一些国家，高达 90%的 PWD 在去世前会进入正规护理，因此政府和其他正规护理服务提供者需要提供文化上一致的护理。还需要与少数民族群体建立关系，这些群体不受老年服务组织（政府和非政府组织）的照顾，以打破家庭对正规护理的负面态度，并为在家中照顾 PWD 的家庭提供应对策略和支持计划，以增强护理体验。
