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在加拿大的一个大城市,南亚老年人如何看待长期护理?

How do South Asian seniors in a large Canadian city perceive long-term care?

机构信息

Assistant Clinical Professor at McMaster University in Hamilton, Ont; Fellow at the Balsillie School of International Affairs in Waterloo, Ont; and Director of the Centre for Family Medicine Refugee Health Clinic in Kitchener, Ont.

Adjunct Professor and Research Scientist in the School of Public Health Sciences at the University of Waterloo in Ontario.

出版信息

Can Fam Physician. 2023 Sep;69(9):e181-e188. doi: 10.46747/cfp.6909e181.

DOI:10.46747/cfp.6909e181
PMID:37704237
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10498910/
Abstract

OBJECTIVE

To understand how community-dwelling South Asian older adults understand and envision long-term care (LTC).

DESIGN

Descriptive qualitative study.

SETTING

The Region of Waterloo in Ontario.

PARTICIPANTS

Participants included 3 key informants (geriatrician, social worker, and medical translator, all South Asian), 1 family caregiver, and 15 community-dwelling South Asian adults aged 65 and older.

METHODS

In-depth interviews and focus groups were recorded, transcribed verbatim, and analyzed using a framework analysis approach.

MAIN FINDINGS

High-level themes included the emotional impacts of failure to provide culturally competent care, such as fear and isolation; a desire for a model of culturally competent care with an emphasis on food and language; and the need for LTC to be more integrated with the broader community and connected to families.

CONCLUSION

As the delivery of LTC is rethought in this country, there is the potential to deliver on the promise of culturally competent care for this growing population. These findings are among the first to communicate the LTC care needs of South Asian older adults in their own words.

摘要

目的

了解社区居住的南亚裔老年人如何理解和设想长期护理 (LTC)。

设计

描述性定性研究。

地点

安大略省滑铁卢地区。

参与者

参与者包括 3 名主要知情人(老年病学家、社会工作者和医学翻译,均为南亚裔)、1 名家庭照顾者和 15 名年龄在 65 岁及以上的社区居住的南亚裔成年人。

方法

记录了深入的访谈和焦点小组,逐字转录,并使用框架分析方法进行分析。

主要发现

高级主题包括未能提供文化上合适的护理所带来的情感影响,例如恐惧和孤立;对强调食物和语言的文化上合适的护理模式的渴望;以及长期护理需要与更广泛的社区更加融合并与家庭联系起来的需求。

结论

随着该国对长期护理的提供方式进行重新思考,有可能为这一不断增长的人群提供文化上合适的护理承诺。这些发现是首批以南亚裔老年人自己的语言传达长期护理需求的发现之一。