Activities of daily living in Mexican American caregivers: the key to continuing informal care.

Activities of daily living in Mexican American caregivers: the key to continuing informal care.
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DOI:
10.1177/1074840712450210
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发表时间:
2012-11
影响因子:
3.1
通讯作者:
Ume E
Ume E
中科院分区:
医学3区
文献类型:
--
作者:
Evans BC;Belyea MJ;Coon DW;Ume E

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La familia推动了墨西哥裔美国人(MA)家庭的老年护理,但疗养院安置可能是由于日常护理需求导致的,这增加了护理人员日常生活活动(ADL)的困难。本文从生命历程的角度,描述了31 MA照顾者的初始数据波从描述性的,纵向的,混合方法的研究110 MA照顾者和照顾者超过15个月的生存轨迹。15 31照顾者一致表示“不需要帮助”的卡茨ADL,而所有的,但一个报告“需要帮助”在半结构化采访文化经纪人。除了卡茨ADL和访谈结果之间的差异,研究结果包括考虑养老院安置适度涵化照顾者和照顾者的疾病最小化。由于Katz ADL的准确性值得怀疑,可能需要MA护理人员评估的其他方法;其他研究应探讨MA护理人员的最小化和文化适应。
La familia drives elder care in Mexican–American (MA) families, but nursing home placement can result from day-to-day caregiving demands that increase caregiver difficulty with activities of daily living (ADLs). Using life course perspective, this article describes the initial data wave of 31 MA caregivers from a descriptive, longitudinal, mixed-methods study of 110 MA caregivers and care recipients over 15 months in their caregiving trajectories. Fifteen of 31 caregivers consistently indicated “no help needed” on the Katz ADL, whereas all but one reported “help needed” during semistructured interviews with cultural brokers. In addition to the discrepancy between results on the Katz ADL and interviews, findings include consideration of nursing home placement by moderately acculturated caregivers and minimization of their illnesses by caregivers. Additional methods of MA caregiver assessment may be needed due to the questionable accuracy of the Katz ADL; additional research should explore minimization and acculturation in MA caregivers.
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