Patterns of caregiving of Cuban, other Hispanic, Caribbean Black, and White elders in South Florida.
Patterns of caregiving of Cuban, other Hispanic, Caribbean Black, and White elders in South Florida.
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DOI：
10.1007/s10823-013-9193-6
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发表时间：
2013-06
影响因子：
2
通讯作者：
Mauro, Ana C
中科院分区：
文献类型：
--
作者：
Friedemann, Marie-Luise;Buckwalter, Kathleen C;Newman, Frederick L;Mauro, Ana C
对佛罗里达州迈阿密的照护者（185名古巴人、108名其他西班牙裔、229名非西班牙裔白人和73名加勒比黑人）进行了描述和比较，并对人口统计学和健康变量、文化态度和照护行为进行了比较。通过家庭健康服务（61%）和社区便利抽样（39%）随机招募参与者，并在他们的家中进行访谈。为本研究构建的标准化仪器和测量方法进行了预测试。多变量分析表明，不同种族在年龄、教育程度、收入和提供护理的人数方面存在差异，而护理人员的健康状况和患者的功能相似。在人口统计因素的控制下，文化变量的差异很小。在义务感、情感依恋、对谁应该照顾、精神、使用家庭帮助或社区服务的开放性方面，所有群体都具有可比性。对护理的承诺很高，主要是受患者需求的驱动。古巴人的家庭最稳定，工作最努力，负担最小。加勒比黑人护理人员生活在大家庭中，年龄最小，他们的病人认知能力最低。年龄较大的白人看护人感到负担最重。专业人员需要了解复杂的信念系统和行为模式，以帮助护理人员调动适当的资源。
Caregivers in Miami, Florida (185 Cubans, 108 other Hispanics, 229 non-Hispanic Whites, and 73 Caribbean Blacks) were described and compared along demographic and health variables, cultural attitudes, and caregiving behaviors. Participants were recruited at random through Home Health Services (61 %) and convenience sampling in the community (39 %), and interviewed at their home. Standardized instruments and measures constructed for this study were pretested. Multivariate analyses showed that the ethnic groups differed in age, education, income, and number of persons giving care, while caregiver health and patient functioning were similar. Controlling for demographics, differences in cultural variables were small. The sense of obligation, emotional attachment, openness about who should give care, spirituality, use of family help or community services were comparable in all groups. Commitment to caregiving was high, driven mainly by patient needs. Cubans had the greatest family stability, and worked the hardest, with the lowest sense of burden. Caribbean Black caregivers lived in bigger families, were youngest, and their patients had the lowest cognitive status. Burden was felt most by White caregivers who were older than the others. Professionals need to understand complex belief systems and behavior patterns to assist caregivers in mobilizing appropriate resources.