Intersection of multiple factors shape Korean American caregiver experience in dementia caregiving.
Intersection of multiple factors shape Korean American caregiver experience in dementia caregiving.
复制标题
多种因素的交叉影响了韩裔美国护理人员在痴呆症护理方面的经验。
DOI：
10.1080/13607863.2023.2219625
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发表时间：
2023
影响因子：
3.4
通讯作者：
Yeom,Sangeun
中科院分区：
文献类型：
--
作者：
Joo,Jinhui;Choi,Scott;Gallo,JosephJ;Han,Haera;Kim,Seojin;Xu,Jiayun;Yeom,Sangeun
背景与目的研究表明，诸如孝道责任和家庭主义等文化规范在韩裔美国人的照料环境中起作用。本研究旨在了解美籍韩裔照护者照顾失智症家庭成员的做法，以及他们的失智症照护支援需求。材料与方法我们对20名韩裔美国护理人员进行了2个焦点小组和个别半结构化访谈。我们使用归纳主题分析来指导主题的编码和生成。结果确定了三个主题；1)韩裔美国人护理经验的交叉性；2)复杂的家庭动态；3)痴呆症护理障碍和护理人员支持需求。在二元关系和家庭中，文化认同、代际、跨文化和语言因素塑造了照顾者的经历。驾驭双文化规范的需要可能会导致紧张关系，但也为照顾者提供了考虑自我照顾和使用外部支持来减少照顾工作的机会。家庭是照顾的单位，照顾是根据文化适应和语言流利程度在家庭成员之间进行划分的。护理人员既需要医疗信息，又需要经验丰富的外行支持人员能够提供的知识。反映他们文化背景的支持受到重视。讨论：研究结果表明，了解韩裔美国照顾者对强烈的老年人照顾规范的反应的多样性以及影响他们照顾经验的多种因素的交叉是非常重要的。整合文化适应和代际评估可能有助于定制干预措施，以优化痴呆症护理干预措施的参与。
Background and ObjectivesStudies have shown that cultural norms such as filial responsibility and familism operate in the Korean American caregiving context. The purpose of our study is to understand the practice of Korean American caregivers who provide care to a family member living with dementia and their dementia care support needs.Materials and MethodsWe conducted 2 focus groups and individual semi-structured interviews with a total of 20 Korean American caregivers. We used inductive thematic analysis to guide coding and generation of themes.ResultsThree themes were identified; 1) intersectionality in the Korean American caregiver experience, 2) complex family dynamics, and 3) dementia care barriers and caregiver support needs. Within the dyadic relationship and the family, cultural identity, generational, acculturational, and language factors shaped the caregiver experience. The need to navigate bicultural norms could lead to tensions but also provide opportunity for caregivers to consider self-care and use external supports to decrease the work of caregiving. Family was the unit of caregiving and caregiving was divided among family members based on acculturation and language fluency. Caregivers desired both medical information combined with knowledge that experienced lay support could provide. Support that reflects their cultural context was valued.DiscussionFindings suggest the importance of understanding the diversity of response to strong elder care norms among Korean American caregivers and the intersection of multiple factors that influence their caregiving experience. Integrating acculturation and generational assessments may be useful as a way to tailor interventions to optimize engagement in dementia care interventions.