American Indian Family Caregivers' Experiences with Helping Elders

American Indian Family Caregivers' Experiences with Helping Elders
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DOI:
10.1007/s10823-010-9131-9
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发表时间:
2010-12-01
影响因子:
2
通讯作者:
Fickenscher, Alexandra
Fickenscher, Alexandra
中科院分区:
其他
文献类型:
--
作者:
Jervis, Lori L.;Boland, Mathew E.;Fickenscher, Alexandra

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近年来,大量的文献积累了对家庭照顾者提供照顾老人的负面影响,而相对较少的研究探讨了照顾老人作为一种积极的经验。只有少数研究调查了美洲印第安人非正式婚姻的任何方面。这项混合方法的研究探讨了消极和积极的方面,提供老年护理之间的19个北方平原美国印第安人的家庭成员。这些照顾者描述了低水平的负担和高水平的回报,归因于对老年人的文化态度和照顾,集体照顾的提供,与老年人的强有力的互惠关系,享受老年人,和相对较低水平的照顾提供。照顾表现为一个复杂的援助交流的一部分,而不是从家庭成员到老年人的单向提供援助。在一个面临贫困、酗酒、创伤和文化创伤的社区中,老年人作为一种压倒性的积极经验出现,证明了老年人在这些社区中往往继续发挥重要作用。
In recent years, a vast literature has accumulated on the negative effects on family caregivers of providing care to elders, while relatively little research has explored caregiving as a positive experience. Only a handful of studies have examined any aspect of informal caregiving among American Indians. This mixed methods study explores the negative and positive aspects of providing elder care among 19 northern plains American Indian family members. These caregivers described low levels of burden and high levels of reward, attributable to cultural attitudes toward elders and caregiving, collective care provision, strong reciprocal relationships with elders, enjoyment of elders, and relatively low levels of care provision. Caregiving manifested as part of a complex exchange of assistance rather than a unidirectional provision of assistance from the family member to the elder. That caregiving emerged as such an overwhelmingly positive experience in a community faced with poverty, alcohol disorders, trauma, and cultural traumatization is testimony to the important roles that elders often continue to play in these communities.