Department of Community and Public Health Nursing, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima, Japan.
School of Nursing, Guangzhou Medical University, Guangzhou, Guangdong, China.
Front Public Health. 2023 Sep 4;11:1216831. doi: 10.3389/fpubh.2023.1216831. eCollection 2023.
Due to declining birthrates and aging populations, parental care is going to place a greater burden on younger generations in the future, especially in East Asia where it is more common for children to provide care regardless of whether there is a national long-term care insurance program. Therefore, it has become important to understand the younger generation's views on parental care.
An explorative, metathematic qualitative study design was used. Data collection relied on semi-structured interviews, of which 19 Chinese and 19 Japanese university students were conducted from December 2021 to July 2022 using a snowball sampling method. Metatheme analysis was then used to identify broad cross-cultural metathemes and inter-relationships on parental care.
Three parental care metathemes were identified for the perspectives of parental care: distrust of leaving parental care to others, responsibility to care for their parents, and importance of parent-child interactions about parental care.
To improve social support for care, both countries must improve long-term care service delivery and healthcare systems and ensure that there is a trusting relationship between healthcare professionals and the public. Governments should also ensure that adult children receive assistance to balance their work, life, and parental care responsibilities. The findings provide several practical suggestions for improving healthcare systems in China and Japan through the younger generations' views.
由于出生率下降和人口老龄化，未来父母的照顾将给年轻一代带来更大的负担，尤其是在东亚，无论是否有国家长期护理保险计划，子女提供照顾都更为常见。因此，了解年轻一代对父母照顾的看法变得尤为重要。
采用探索性、元主题定性研究设计。数据收集依赖于半结构化访谈，于 2021 年 12 月至 2022 年 7 月，使用滚雪球抽样方法，对 19 名中国和 19 名日本大学生进行了访谈。然后使用元主题分析来确定关于父母照顾的广泛跨文化元主题和相互关系。
确定了三种父母照顾的元主题：对将父母照顾留给他人的不信任、照顾父母的责任，以及关于父母照顾的亲子互动的重要性。
为了改善对照顾的社会支持，两国都必须改善长期护理服务提供和医疗保健系统，并确保医疗保健专业人员和公众之间存在信任关系。政府还应确保成年子女在工作、生活和照顾父母的责任之间得到帮助。研究结果从年轻一代的角度为改善中国和日本的医疗保健系统提供了一些实际建议。
