Wang Qian, Xiao Xiaohua, Zhang Jin, Jiang Dongdong, Wilson Amanda, Qian Beiran, Song Peige, Yang Qian
School of Public Health and the Department of Geriatrics, the Fourth Affiliated Hospital, Zhejiang University School of Medicine, Zhejiang University, Hangzhou, China.
School of Applied Social Sciences, De Montfort University, The Gateway, Leicester, United Kingdom.
Front Psychiatry. 2023 Apr 21;14:1173755. doi: 10.3389/fpsyt.2023.1173755. eCollection 2023.
With the aging population in East Asia, the prevalence of dementia and the need for patient care is increasing. Family caregivers of people with dementia are at risk of physical and mental health problems. Filial piety culture regulates relationships within East Asian families and effects the well-being and behavior of dementia family caregivers (CGs).
To systematically assess the experience of East Asian dementia caregivers in filial culture. Methods: Electronic databases, including MEDLINE, APA PsycINFO, CINAHL ( EBSCOhost), Web of Science, and Cochrane Library, were searched for relevant studies up to July 2021. Only original articles were included.
Thirteen eligible studies were included, of which eight were qualitative and five were quantitative. Meta-analysis showed a negative association ( = -0.18, 95%CI [-0.28, -0.08]) between filial culture and caregiver burden. The quantitative studies identified four themes related to dementia caregivers' experiences: (1) Recognition and understanding of filial piety as part of cultural identity, (2) Role transitions- from child to CG, (3) Filial piety's constraints on CGs; (4) CGs' self-compassion through changing cultural norms of filial practice.
Filial culture influences the whole process behind caregiving for East Asian dementia caregivers. At the same time, cultural transition has also brought about new connotations and practices to filial culture.
随着东亚地区人口老龄化，痴呆症的患病率及患者护理需求不断增加。痴呆症患者的家庭护理人员面临身心健康问题的风险。孝道文化规范着东亚家庭内部的关系，并影响痴呆症家庭护理人员（CGs）的幸福感和行为。
系统评估东亚痴呆症护理人员在孝道文化中的经历。方法：检索电子数据库，包括MEDLINE、美国心理学会心理学文摘数据库（APA PsycINFO）、护理学与健康领域数据库（CINAHL，EBSCOhost平台）、科学引文索引（Web of Science）和考克兰图书馆，检索截至2021年7月的相关研究。仅纳入原创文章。
纳入13项符合条件的研究，其中8项为定性研究，5项为定量研究。荟萃分析显示，孝道文化与护理人员负担之间呈负相关（r = -0.18，95%置信区间[-0.28, -0.08]）。定量研究确定了与痴呆症护理人员经历相关的四个主题：（1）将孝道视为文化身份一部分的认知与理解；（2）角色转变——从子女到护理人员；（3）孝道对护理人员的限制；（4）护理人员通过改变孝道实践的文化规范实现自我同情。
孝道文化影响着东亚痴呆症护理人员护理背后的全过程。同时，文化转型也给孝道文化带来了新的内涵和实践。
