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初级保健病例管理中痴呆症患者及照料者的文化多样性:一项混合方法试点研究

The Cultural Diversity of Dementia Patients and Caregivers in Primary Care Case Management: a Pilot Mixed Methods Study.

作者信息

Yang Xin Qiang, Vedel Isabelle, Khanassov Vladimir

机构信息

Faculty of Medicine, McGill University, Montreal, USA, QC.

Department of Family Medicine, McGill University, Montreal, USA, QC.

出版信息

Can Geriatr J. 2021 Sep 1;24(3):184-194. doi: 10.5770/cgj.24.490. eCollection 2021 Sep.

DOI:10.5770/cgj.24.490
PMID:34484501
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8390323/
Abstract

CONTEXT

The Canadian reality of dementia care may be complicated by the cultural diversity of patients and their informal caregivers.

OBJECTIVES

To what extent do needs differ between Canadian- and foreign-born patients and caregivers? What are their experiences with the illness in primary care case management?

METHODS

Mixed methods, sequential explanatory design (a cross-sectional study, followed by a qualitative descriptive study), involving 15 pairs of patients and caregivers.

RESULTS

Foreign-born patients had more needs compared to their Canadian-born counterparts. Foreign-born caregivers reported more stress, more problems, and increased need for services. However, the reported experiences of Canadian- vs. foreign-born individuals were similar.

CONCLUSION

The results remain hypothesis-generating. The present pilot illustrated the suitability of mixed methods to this area of study, which deserves further investigation to better serve all members of a population already vulnerable by age and disease.

摘要

背景

加拿大痴呆症护理的实际情况可能因患者及其非正式护理人员的文化多样性而变得复杂。

目的

在多大程度上,出生在加拿大的患者和护理人员与外国出生的患者和护理人员的需求存在差异?他们在初级保健病例管理中对该疾病的体验如何?

方法

采用混合方法,即顺序解释性设计(一项横断面研究,随后是定性描述性研究),涉及15对患者和护理人员。

结果

与在加拿大出生的患者相比,外国出生的患者有更多需求。外国出生的护理人员报告了更多压力、更多问题以及对服务的需求增加。然而,加拿大出生的人与外国出生的人报告的体验相似。

结论

这些结果仍有待进一步验证。本试点研究表明混合方法适用于该研究领域,值得进一步调查,以便更好地为所有因年龄和疾病而本就脆弱的人群提供服务。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/587d/8390323/3a9d06e7f167/cgj-24-184f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/587d/8390323/3a9d06e7f167/cgj-24-184f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/587d/8390323/3a9d06e7f167/cgj-24-184f1.jpg

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Knowledge of Alzheimer's disease among Vietnamese Americans and correlates of their knowledge about Alzheimer's disease.
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