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韩国残疾儿童多元文化家庭的韧性:基于全国数据的路径分析。

Resilience in Multicultural Families of Children With Disabilities in Korea: A Path Analysis Using National Data.

机构信息

Professor, College of Nursing, Korea University, Seoul, South Korea.

Doctoral student, College of Nursing, Korea University, Seoul, South Korea.

出版信息

J Nurs Scholarsh. 2021 Jul;53(4):408-417. doi: 10.1111/jnu.12658. Epub 2021 Apr 7.

Abstract

PURPOSE

The number of multicultural families has increased globally, and Korea has also witnessed a surge. Along with the various challenges experienced by these families, a child with a disability can pose additional challenges. In-depth knowledge about resilience factors among multicultural families of children with disabilities is important. The aim of this study was to examine relationships between family demands, family appraisals, family problem solving and coping, family resources, and family adaptation in multicultural families of children with disabilities in Korea as perceived by married immigrants.

DESIGN

This study was based on a secondary analysis of national survey data in 2015 and 2018 in Korea.

METHODS

A total of 256 multicultural families who have children with disabilities participated. Family demands were identified by examining marital conflict, cultural differences, marital status, and public assistance recipient households. Family appraisal was assessed by how the family perceived the married immigrant's culture. Family problem solving and coping were examined by how actively a married immigrant participated in social activities. Family resources were assessed by examining Korean language competency and the health status of immigrants. Family adaptation was identified by how immigrants perceived their life satisfaction. Path analysis was used to assess the factors.

FINDINGS

Family demands had a direct impact on family resources and family adaptation. Family appraisal had a direct impact on family adaptation. Family resources mediated the effect of family demands on family adaptation.

CONCLUSIONS

This study demonstrated that although a multicultural family of a child with a disability struggles with family demands, if the family receives positive resources from family members, they can adapt well. Current findings can be used to develop interventions that can foster greater resilience among families.

CLINICAL RELEVANCE

This study provides evidence that nurses can target modifiable family aspects, including immigrants' health and family perceptions of immigrants' cultures identified in this study to enhance the immigrant and family adaptation.

摘要

目的

全球多元文化家庭的数量不断增加,韩国也不例外。随着这些家庭所面临的各种挑战,残疾儿童也会带来额外的挑战。深入了解残疾儿童多元文化家庭的适应力因素非常重要。本研究旨在探讨韩国已婚移民眼中残疾儿童多元文化家庭中家庭需求、家庭评估、家庭问题解决和应对、家庭资源以及家庭适应之间的关系。

设计

本研究基于 2015 年和 2018 年韩国全国调查数据的二次分析。

方法

共有 256 个有残疾儿童的多元文化家庭参与了研究。家庭需求通过考察婚姻冲突、文化差异、婚姻状况和公共援助接受家庭来确定。家庭评估通过家庭对已婚移民文化的感知来评估。家庭问题解决和应对通过已婚移民参与社会活动的积极性来考察。家庭资源通过考察移民的韩语能力和移民的健康状况来评估。家庭适应通过移民对自己生活满意度的感知来确定。采用路径分析来评估这些因素。

结果

家庭需求对家庭资源和家庭适应有直接影响。家庭评估对家庭适应有直接影响。家庭资源在家庭需求对家庭适应的影响中起中介作用。

结论

本研究表明,尽管残疾儿童的多元文化家庭面临家庭需求的挑战,但如果家庭从家庭成员那里获得积极的资源,他们可以很好地适应。当前的研究结果可以用于制定干预措施,以增强家庭的适应力。

临床意义

本研究提供的证据表明,护士可以针对可改变的家庭方面,包括移民的健康和家庭对移民文化的看法,以增强移民和家庭的适应能力。

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