Abstract：
OBJECTIVE: To explore the health beliefs and health behaviours of older Vietnam-born people living with chronic disease in Western Australia.
METHODS: This study was designed as a focused ethnography guided by the interpretative research paradigm and Leininger\'s Theory of Culture Care.
METHODS: Data were collected through participant observation and interviews undertaken at participants\' homes in Western Australia over 7 months in 2019. Data were analysed using Wolcott\'s approach for transferring qualitative data, comprising three phases: description, thematic analysis and interpretation.
RESULTS: This study included 12 participants. The health perspectives and practices of older Vietnam-born Australians significantly reflected the traditional Vietnamese values. These included the stigma towards chronic disease as an inevitable consequence of ageing; self-blame thoughts about chronic disease causations and maintained traditional dietary practices. However, some aspects of their health behaviours such as beliefs and practices in traditional medicine, Western medicine and physical exercise reflected a blended approach combining both Vietnamese-oriented and Westernized-orientated practices. Individual factors were also identified as contributing to chronic disease self-care among participants.
CONCLUSIONS: This study emphasizes culture played a significant role in shaping the way that older Vietnam-born Australians believed and behaved while living with chronic conditions. However, it also indicates that culture is not a stationary concept, it evolves gradually and is socially constructed.
CONCLUSIONS: A better understanding of the health beliefs and practices of older Vietnam-born Australians is expected to contribute to the delivery of culturally safe and effective support for this population. The achievement of culturally safe care requires a systemic approach and collaboration of strategies across sectors.
UNASSIGNED: This study encompassed the contribution of 12 older Vietnam-born Australians who offered the researcher the privilege to enter their world and the staff of social care organization who opened the gate for the researcher to approach participants.
METHODS: This study was designed as a focused ethnography guided by the interpretative research paradigm and Leininger\'s Theory of Culture Care.
METHODS: Data were collected through participant observation and interviews undertaken at participants\' homes in Western Australia over 7 months in 2019. Data were analysed using Wolcott\'s approach for transferring qualitative data, comprising three phases: description, thematic analysis and interpretation.
RESULTS: This study included 12 participants. The health perspectives and practices of older Vietnam-born Australians significantly reflected the traditional Vietnamese values. These included the stigma towards chronic disease as an inevitable consequence of ageing; self-blame thoughts about chronic disease causations and maintained traditional dietary practices. However, some aspects of their health behaviours such as beliefs and practices in traditional medicine, Western medicine and physical exercise reflected a blended approach combining both Vietnamese-oriented and Westernized-orientated practices. Individual factors were also identified as contributing to chronic disease self-care among participants.
CONCLUSIONS: This study emphasizes culture played a significant role in shaping the way that older Vietnam-born Australians believed and behaved while living with chronic conditions. However, it also indicates that culture is not a stationary concept, it evolves gradually and is socially constructed.
CONCLUSIONS: A better understanding of the health beliefs and practices of older Vietnam-born Australians is expected to contribute to the delivery of culturally safe and effective support for this population. The achievement of culturally safe care requires a systemic approach and collaboration of strategies across sectors.
UNASSIGNED: This study encompassed the contribution of 12 older Vietnam-born Australians who offered the researcher the privilege to enter their world and the staff of social care organization who opened the gate for the researcher to approach participants.
摘要：
目的：探讨西澳大利亚州出生的越南老年人患有慢性病的健康信念和健康行为。
方法：本研究是在解释性研究范式和Leininger的文化关怀理论指导下设计的重点民族志。
方法：数据是通过2019年7个月以上对西澳大利亚州参与者的观察和访谈收集的。使用Wolcott的方法对数据进行分析，以转移定性数据，包括三个阶段：描述，主题分析和解释。
结果：本研究包括12名参与者。越南出生的澳大利亚老年人的健康观点和做法显着反映了越南的传统价值观。其中包括对慢性疾病的污名化，这是衰老的必然结果；对慢性疾病病因的自责想法以及保持传统的饮食习惯。然而,他们健康行为的某些方面，如传统医学的信念和实践，西方医学和体育锻炼反映了一种混合方法，将越南导向和西方导向的实践相结合。个体因素也被确定为有助于参与者的慢性疾病自我护理。
结论：这项研究强调文化在塑造越南出生的澳大利亚老年人在慢性病中的信仰和行为方式方面发挥了重要作用。然而,这也表明文化不是一个固定的概念，它是逐步发展的，是社会建构的。
结论：对越南出生的澳大利亚老年人的健康信念和实践的更好理解将有助于为该人群提供文化安全和有效的支持。实现文化安全护理需要采取系统的方法和跨部门战略的合作。
■这项研究包括12名年龄较大的越南出生的澳大利亚人的贡献，他们为研究人员提供了进入他们世界的特权，以及为研究人员接近参与者打开大门的社会护理组织的工作人员。
方法：本研究是在解释性研究范式和Leininger的文化关怀理论指导下设计的重点民族志。
方法：数据是通过2019年7个月以上对西澳大利亚州参与者的观察和访谈收集的。使用Wolcott的方法对数据进行分析，以转移定性数据，包括三个阶段：描述，主题分析和解释。
结果：本研究包括12名参与者。越南出生的澳大利亚老年人的健康观点和做法显着反映了越南的传统价值观。其中包括对慢性疾病的污名化，这是衰老的必然结果；对慢性疾病病因的自责想法以及保持传统的饮食习惯。然而,他们健康行为的某些方面，如传统医学的信念和实践，西方医学和体育锻炼反映了一种混合方法，将越南导向和西方导向的实践相结合。个体因素也被确定为有助于参与者的慢性疾病自我护理。
结论：这项研究强调文化在塑造越南出生的澳大利亚老年人在慢性病中的信仰和行为方式方面发挥了重要作用。然而,这也表明文化不是一个固定的概念，它是逐步发展的，是社会建构的。
结论：对越南出生的澳大利亚老年人的健康信念和实践的更好理解将有助于为该人群提供文化安全和有效的支持。实现文化安全护理需要采取系统的方法和跨部门战略的合作。
■这项研究包括12名年龄较大的越南出生的澳大利亚人的贡献，他们为研究人员提供了进入他们世界的特权，以及为研究人员接近参与者打开大门的社会护理组织的工作人员。
