生活在两种文化之间:阿尔茨海默氏症及相关痴呆症患者的韩裔美国家庭照顾者的压力。

IF 2.8 3区 医学 Q3 GERIATRICS & GERONTOLOGY Aging & Mental Health Pub Date : 2024-11-04 DOI:10.1080/13607863.2024.2422938
Hyejin Kim, Olimpia Paun, Jessica Bishop-Royse, Masako Mayahara, Sarang Chong
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引用次数: 0

摘要

目的:阿尔茨海默病和相关痴呆症(ADRD)患者的韩裔美国人主要家庭照顾者可能会面临独特的压力,这归因于韩裔美国人的移民史、文化和语言等显著特征。通过叙事调查,我们探讨了护理经验,重点是压力,并确定了在为 ADRD 患者提供居家护理的韩裔美国家庭护理者中造成压力的因素:我们对 15 名 ADRD 患者的韩裔美国家庭照顾者进行了一对一的半结构化访谈。我们从时间性(即护理的时间轴)、社会性(即文化和熟悉的环境)和地点(即各种生活环境)三个方面分析了参与者的压力:大部分参与者为女性(73%),韩国出生的移民(93%),受教育程度相对较高,平均受教育年限为 16 年。我们发现:1)护理人员的压力在 ADRD 护理过程中持续存在,但各不相同;2)文化期望和关系动态放大了压力水平;3)在美国生活的同时保持韩国人身份限制了护理人员的社会联系:我们的研究结果凸显了美籍韩裔 ADRD 家庭照顾者压力的细微差别。在为这一研究不足的人群制定符合其文化特点的减压干预措施时,应考虑到他们的特殊支持需求。
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Living between two cultures: stress in Korean American family caregivers of individuals with Alzheimer's disease and related dementias.

Objectives: Korean-American primary family caregivers of individuals with Alzheimer's disease and related dementias (ADRD) may face unique stress, attributable to the distinctive characteristics of Korean-Americans, including their immigration history, culture, and language. Using narrative inquiry, we explored caregiving experiences, focusing on stress, and identified factors contributing to stress among Korean-American family caregivers providing in-home care to individuals with ADRD.

Method: We conducted one-on-one, semi-structured interviews with 15 Korean-American family caregivers of individuals with ADRD. We analyzed the participants' stress in the context of temporality (i.e. timelines of their caregiving), sociality (i.e. cultural and familiar contexts), and place (i.e. various life settings).

Results: The majority of participants were female (73%), Korean-born immigrants (93%), and had relatively high levels of education with an average of 16 years of education. We found that 1) caregivers' stress continued but varied along the ADRD caregiving trajectory, 2) cultural expectations and relationship dynamics amplified stress levels, and 3) maintaining a Korean identity while living in the United States limited caregivers' social connections.

Conclusion: Our findings highlight the nuances of stress among Korean-American ADRD family caregivers. Specific support needs should be addressed in the development of culturally tailored stress reduction interventions for this understudied population.

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来源期刊
Aging & Mental Health
Aging & Mental Health 医学-精神病学
CiteScore
7.00
自引率
2.90%
发文量
176
审稿时长
4-8 weeks
期刊介绍: Aging & Mental Health provides a leading international forum for the rapidly expanding field which investigates the relationship between the aging process and mental health. The journal addresses the mental changes associated with normal and abnormal or pathological aging, as well as the psychological and psychiatric problems of the aging population. The journal also has a strong commitment to interdisciplinary and innovative approaches that explore new topics and methods. Aging & Mental Health covers the biological, psychological and social aspects of aging as they relate to mental health. In particular it encourages an integrated approach for examining various biopsychosocial processes and etiological factors associated with psychological changes in the elderly. It also emphasizes the various strategies, therapies and services which may be directed at improving the mental health of the elderly and their families. In this way the journal promotes a strong alliance among the theoretical, experimental and applied sciences across a range of issues affecting mental health and aging. The emphasis of the journal is on rigorous quantitative, and qualitative, research and, high quality innovative studies on emerging topics.
期刊最新文献
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