Nguyen Thi Ngoc Minh, Saunders Rosemary, Dermody Gordana, Whitehead Lisa
School of Nursing and Midwifery, Edith Cowan University, Joondalup, Western Australia, Australia.
School of Health Science, University of the Sunshine Coast, Sippy Downs, Queensland, Australia.
Nurs Health Sci. 2025 Jun;27(2):e70158. doi: 10.1111/nhs.70158.
This study explored the support networks and care needs of older Vietnam-born adults living in Australia, using focused ethnography, and guided by Leininger's Culture Care theory. Data were collected through participant observation and in-depth interviews over 7 months in Perth, Western Australia, and analyzed thematically. Twelve participants were included. Two themes emerged: "The collectivist context of disease management" and "When in Rome, do as the Romans do." Chronic disease self-management primarily took place within family and community settings, with ethnic communities playing a significant role. Migration-related stigma influenced perceived care needs, creating a gap between perceived and actual support. Findings highlight the essential role of community and family in managing chronic diseases among older Vietnam-born Australians. Health care providers should consider collaborating with ethnic communities using family-based approaches to address these self-management needs. Future studies could explore whether these findings are applicable to other older foreign-born populations from culturally and linguistically diverse backgrounds in Australia.
本研究采用聚焦民族志方法，以莱宁格的文化关怀理论为指导，探讨了居住在澳大利亚的越南出生的老年人的支持网络和护理需求。通过在西澳大利亚州珀斯进行的7个月的参与观察和深入访谈收集数据，并进行了主题分析。纳入了12名参与者。出现了两个主题：“疾病管理的集体主义背景”和“入乡随俗”。慢性病自我管理主要在家庭和社区环境中进行，族裔社区发挥了重要作用。与移民相关的耻辱感影响了感知到的护理需求，造成了感知到的支持与实际支持之间的差距。研究结果凸显了社区和家庭在管理越南出生的澳大利亚老年人慢性病方面的重要作用。医疗保健提供者应考虑与族裔社区合作，采用基于家庭的方法来满足这些自我管理需求。未来的研究可以探讨这些发现是否适用于澳大利亚其他来自文化和语言背景多样的外国出生的老年人群体。
