■文化适应是两种不同文化接触的过程。由于文化适应和提前护理计划的复杂性和多面性,目前尚不清楚文化适应如何影响中国移民参与提前护理计划。
■综合有关中国移民“文化适应”在参与提前护理计划中的作用的证据。
■系统的混合方法审查,在PROSPERO注册(CRD42021231822)。
■EMBASE,MEDLINE,WebofScience,谷歌学者一直在搜索出版物,直到2021年1月21日。
■1112篇确定的文章中有21篇被包括在分析中。在这21篇文章中,17个具有定性设计,13个来自美国。四项定量研究中的三项报告说,较高的文化适应水平与更好的知识或较高的提前护理计划参与率有关。定性研究的分析表明,中国移民参与预先护理计划与他们的:(1)自我感知的文化身份(本地或非本地);(2)孝道的解释(传统或现代);(3)自主性的解释(个人或家庭)。为了促进他们的参与,中国移民更喜欢含蓄的方式,与家庭无关的发起人,情境化可以促进中国文化和使用汉语的护理计划。
■中国移民从事提前护理计划的意愿随他们的文化程度而变化。让他们参与预先护理计划,我们建议调整引入预先护理计划,以解决人们对其文化身份的看法,孝道,和自主性,以及他们对某些方法的偏好,initiator,context,和语言。
Acculturation is the process of two different cultures coming into contact. It is unclear how acculturation influences Chinese immigrants\' engagement in advance care planning due to the complexity and multifaceted nature of both acculturation and advance care planning.
To synthesize evidence regarding the role of Chinese immigrants\' acculturation in their engagement in advance care planning.
Systematic mixed-method review, registered in PROSPERO (CRD42021231822).
EMBASE, MEDLINE, Web of Science, and Google Scholar were searched for publications until January 21, 2021.
Twenty-one out of 1112 identified articles were included in the analysis. Of those 21 articles, 17 had a qualitative design and 13 originated from the United States. Three of four quantitative studies reported that higher acculturation levels were associated with better knowledge or higher rate of engagement in advance care planning. Analysis of qualitative studies showed that Chinese immigrants\' engagement in advance care planning was associated with their: (1) self-perceived cultural identity (native or non-native); (2) interpretation of filial piety (traditional or modern); and (3) interpretation of autonomy (individual or familial). To facilitate their engagement, Chinese immigrants prefer an implicit approach, non-family-related initiators, contextualization advance care planning in Chinese culture and using Chinese language.
Chinese immigrants\' willingness to engage in advance care planning varied with their acculturation level. To engage them in advance care planning, we recommend adapting the introduction of advance care planning to address people\'s perceptions of their cultural identity, filial piety, and autonomy, as well as their preference for certain approach, initiator, context, and language.