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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

Published online by Cambridge University Press:  08 July 2021

Oládayò Bífárìn Open the ORCID record for Oládayò Bífárìn [Opens in a new window] ,
Catherine Quinn Open the ORCID record for Catherine Quinn [Opens in a new window] ,
Liz Breen Open the ORCID record for Liz Breen [Opens in a new window] ,
Chuntao Wu ,
Ma Ke ,
Liu Yu  and
Jan Oyebode Open the ORCID record for Jan Oyebode [Opens in a new window]
Oládayò Bífárìn*
Affiliation:
Centre for Applied Dementia Studies, Faculty of Health Studies, University of Bradford, Bradford, UK
Catherine Quinn
Affiliation:
Centre for Applied Dementia Studies, Faculty of Health Studies, University of Bradford, Bradford, UK
Liz Breen
Affiliation:
School of Pharmacy and Medical Sciences, Faculty of Life Sciences, University of Bradford, Bradford, UK
Chuntao Wu
Affiliation:
School of Nursing, China Medical University, Shenyang, P.R. China
Ma Ke
Affiliation:
School of Nursing, China Medical University, Shenyang, P.R. China
Liu Yu
Affiliation:
School of Nursing, China Medical University, Shenyang, P.R. China
Jan Oyebode
Affiliation:
Centre for Applied Dementia Studies, Faculty of Health Studies, University of Bradford, Bradford, UK
*
*Corresponding author. Email: o.o.bifarin@bradford.ac.uk
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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.

Keywords

filial pietyself-actualisationburdenproblem-focused copingemotion-focused copingfamily care-giversservice provisionlong-term care
Type
Review Article
Information
Ageing & Society , Volume 43 , Issue 4 , April 2023 , pp. 952 - 989
Copyright
Copyright © The Author(s), 2021. Published by Cambridge University Press

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