The Lived Experiences of African American and Latinx Family Caregivers of Patients with Chronic Kidney Disease: A Photo-Elicitation Study.

IF 2.3 4区 医学 Q3 INTEGRATIVE & COMPLEMENTARY MEDICINE
Sadia Anjum Ashrafi, Minakshi Raj, Laura Quintero Silva, Ana Laura Selzer, Rosalba Hernandez, Soonhyung Kwon, Eleanor Rivera, Andiara Schwingel
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Abstract

Chronic kidney disease (CKD) is highly prevalent in African American and Latinx communities. Both communities practice collectivistic values, prioritizing family caregiving and making them integral parts of their patients' CKD care teams. Therefore, this study adopts photo-elicitation to explore the lived experiences of African American and Latinx family caregivers of CKD patients in the United States. The analysis yields four themes. Theme 1 highlights family caregivers' support, including instrumental and emotional care. Theme 2 explains how family caregivers' knowledge of CKD evolved throughout their caregiving journey, from being unaware to becoming knowledgeable about CKD and adapting their lifestyles in kidney-friendly ways. Theme 3 illustrates the emotional and practical challenges experienced by caregivers in their journeys. Finally, Theme 4 highlights how they coped with caregiving adversities through emotional strength, optimism, and resilience. These findings would help develop supportive interventions tailored to these populations and draw policy attention to establish holistic care.

慢性肾脏疾病患者的非裔美国人和拉丁裔家庭照护者的生活经历:一项照片启发研究。
慢性肾脏疾病(CKD)在非洲裔美国人和拉丁裔社区非常普遍。这两个社区实践集体主义价值观,优先考虑家庭护理,并使其成为患者CKD护理团队的组成部分。因此,本研究采用照片启发的方法来探讨美国非裔美国人和拉丁裔CKD患者家庭照顾者的生活经历。分析得出了四个主题。主题1强调家庭照顾者的支持,包括工具性和情感关怀。主题2解释了家庭照护者对慢性肾病的认识是如何在他们的照护过程中演变的,从不知道到了解慢性肾病,并以对肾脏有益的方式适应他们的生活方式。主题3说明了护理人员在旅途中遇到的情感和实际挑战。最后,主题4强调了他们如何通过情感力量、乐观和韧性来应对照顾的逆境。这些发现将有助于制定适合这些人群的支持性干预措施,并引起政策注意,以建立整体护理。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Holistic Nursing Practice
Holistic Nursing Practice INTEGRATIVE & COMPLEMENTARY MEDICINE-NURSING
CiteScore
1.90
自引率
7.70%
发文量
120
期刊介绍: Holistic Nursing Practice (HNP), The Science of Health and Healing, is a peer-reviewed bimonthly journal that explores holistic models of nursing practice. Content emphasizes complementary traditional and holistic nursing and healthcare practices. Articles include theory-based interventions and their outcomes, including: innovations in holistic nursing practice; research related to holistic nursing practice, health care, and policy; and values and ethical-legal issues related to holistic nursing practices. The holistic approach is a worldview that emphasizes the potential for health and healing in human systems rather than on disease process and deficit.
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