Family Caregiving in Japan: The Influence of Cultural Constructs in the Care of Adults With Cancer

Family Caregiving in Japan: The Influence of Cultural Constructs in the Care of Adults With Cancer
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DOI:
10.1177/1074840716655530
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发表时间:
2016-08-01
影响因子:
3.1
通讯作者:
Uza, Miyoko
Uza, Miyoko
中科院分区:
医学3区
文献类型:
--
作者:
Yamaguchi, Satomi;Cohen, S. Robin;Uza, Miyoko

文献摘要

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关怀文化是一个概念,体现了照顾者的看法和照顾的做法,承认文化信仰在塑造行为的独特作用。一个定性的描述性研究与13名照顾者的成年家庭成员与癌症诊断在日本进行了深入了解的看法和经验,周围的癌症。确定了几个主要类别,代表了日本人很少报道的具有高文化价值的文化结构:对患者给予的回报,照顾作为社会期望的角色,Enryo/meiwakurestraint在寻求帮助,家庭决策反映了强大的纽带,Omoiyariempathizing与患者的感情,Inoripraying无数的神和祖先。日本文化中的ie(与家族血统的紧密联系以及与过去和未来几代人的精神联系)有助于理解这些类别。无形而强大的文化结构渗透到了实践中。从日本的文化观念和信仰的见解可以促进不同的环境,文化和社会的敏感性和个性化的护理。
Caring culture is a concept embodying the perceptions and caring practices of caregivers, acknowledging the unique role of cultural beliefs in shaping behavior. A qualitative descriptive study with 13 caregivers of adult family members with a cancer diagnosis in Japan was conducted to gain insight into perceptions and experiences surrounding caregiving. Several major categories were identified, representing rarely reported cultural constructs of high cultural value for the Japanese: Onrepayment for what the patient has given, Caregiving as performing a socially expected role, Enryo/meiwakurestraint in asking for help, Family decision making reflecting strong bonds, Omoiyariempathizing with the patient's feelings, and Inoripraying to myriad gods and ancestors. The Japanese cultural construct of ie (the strong relationship to family lineage and spiritual connection to past and future generations) is helpful in understanding these categories. Invisible yet powerful cultural constructs permeated caregiving practices. Insights from Japanese cultural concepts and beliefs may foster sensitivity and individualized care in diverse settings, cultures, and societies.