Caregiver mental health and racial/ethnic disparities in stroke: implications for culturally sensitive interventions.
Caregiver mental health and racial/ethnic disparities in stroke: implications for culturally sensitive interventions.
复制标题
护理人员心理健康和中风中的种族/民族差异：对文化敏感干预措施的影响。
作者：
P. Perrin;M. Heesacker;Catherine E. Uthe;M. Rittman
目的/目标
本研究的目的是为拉丁裔/波多黎各人、黑人和白色中风患者的照顾者创建一套文化敏感的心理健康干预建议。该研究检查了中风照顾者的心理健康和中风患者的功能是否根据种族/民族而不同，根据种族/民族随着时间的推移而发生差异变化，并显示了根据种族/民族而不同的两组结构之间的关系。
研究方法/设计
在出院后1个月、6个月和12个月，收集了124（n = 248）例白色、黑人和拉丁美洲人/波多黎各人对患者的照顾者心理健康和功能数据。
结果
在这三个种族/族裔群体中，拉丁裔/波多黎各中风患者的功能最低，他们的照顾者的心理健康状况最差，尽管心理健康影响没有达到统计学意义。随着时间的推移，在照顾者心理健康和中风患者功能之间的关系中出现了一致的模式，这些模式随种族/民族而不同。
结论/影响
当研究人员和临床医生只关注种族/民族而不是内部时，关于照顾者心理健康与中风患者功能之间联系的关键知识可能会丢失。单一的种族/民族方法对中风康复的心理健康干预可能是有限的，种族/民族可能会影响照顾者的心理健康和功能的个人中风康复相互影响。
PURPOSE/OBJECTIVE
The purpose of this study was to create a set of culturally sensitive mental-health-intervention recommendations for the caregivers of Latino/Puerto-Rican, Black, and White individuals with stroke. The study examined whether the mental health of stroke caregivers and functioning of individuals with stroke differed according to race/ethnicity, changed differentially over time according to race/ethnicity, and showed relationships between the two sets of constructs that differed according to race/ethnicity.
RESEARCH METHOD/DESIGN
Data on caregiver mental health and functioning of individuals with stroke were collected from 124 (n = 248) White, Black, and Latino/Puerto-Rican dyads at 1, 6, and 12 months post-hospital discharge.
RESULTS
Out of the three racial/ethnic groups, Latino/Puerto-Rican individuals with stroke showed the lowest functioning, and their caregivers showed the poorest mental health, though the mental-health effects did not reach statistical significance. Consistent patterns which differed as a function of race/ethnicity emerged over time in the relationships between caregiver mental health and functioning of individuals with stroke.
CONCLUSIONS/IMPLICATIONS
Critical knowledge may be lost regarding the connections between caregiver mental health and the functioning of individuals with stroke when researchers and clinicians look only across race/ethnicity as opposed to also within. A monolithic racial/ethnic approach to mental-health interventions for stroke rehabilitation is likely limited, and race/ethnicity may affect how caregiver mental health and functioning of individuals with stroke reciprocally influence each other.