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Stressors and coping mechanisms of family care-givers of older relatives living with long-term conditions in mainland China: a scoping review of the evidence

Bifarin, O, Quinn, C, Breen, L, Wu, C, Ke, M, Yu, L and Oyebode, J (2021) Stressors and coping mechanisms of family care-givers of older relatives living with long-term conditions in mainland China: a scoping review of the evidence. Ageing and Society. ISSN 0144-686X

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Abstract

As the ageing population in China continues to grow, more people will be living with long-term health conditions and require support from family care-givers. This scoping review therefore aims to explore sources of stress and coping mechanisms adopted by care-givers of older relatives living with long-term conditions in mainland China. Literature searches were conducted in English (CINAHL, EMBASE, MEDLINE, PsycINFO and SCOPUS) and Chinese (CNKI, WANFANG DATA, CQVIP and CBM) databases between October and November 2019. The searches focused on the stressors and coping mechanisms utilised by family care-givers residing in the community. Narrative synthesis was used to identify themes within the data. Forty-six papers were included: 20 papers from English and 26 from Chinese databases. Six themes captured stressors: care-giving time (N = 22), financial resources (N = 17), role and personal strains (N = 42), preparedness (N = 4), social roles (N = 10) and lack of adequate formal support (N = 22); and one theme captured coping (N = 14). Unmet needs of care-givers of older relatives in mainland China were found to be extensive. Only a few studies had attempted to explore the causal link between stressors, coping and the influence of culture. Findings underscore the significance of adequately capturing intricacies around care-givers' unmet needs, rather than generalising on the basis of culture. Qualitative studies are critical to providing a better understanding of the relationship between stressors, coping and resources afforded to care-givers by their cultural environment. Having such understanding is crucial to inform the development of competent care, which promotes self-efficacy and self-actualisation in care-givers in mainland China.

Item Type: Article
Uncontrolled Keywords: Science & Technology; Life Sciences & Biomedicine; Gerontology; Geriatrics & Gerontology; filial piety; self-actualisation; burden; problem-focused coping; emotion-focused coping; family care-givers; service provision; long-term care; QUALITY-OF-LIFE; SOCIAL SUPPORT; DEMENTIA; CARE; PEOPLE; DISTRESS; HEALTH; DEPRESSION; STRATEGIES; BURDEN; 15 Commerce, Management, Tourism and Services; 16 Studies in Human Society; 17 Psychology and Cognitive Sciences; Gerontology
Subjects: R Medicine > RT Nursing
Divisions: Nursing & Allied Health
Publisher: Cambridge University Press (CUP)
SWORD Depositor: A Symplectic
Date Deposited: 22 Jun 2022 11:58
Last Modified: 22 Jun 2022 12:00
DOI or ID number: 10.1017/S0144686X21000817
URI: https://researchonline.ljmu.ac.uk/id/eprint/17123
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