RESUMO
The aim of this study was to explore the occupational changes and perceptions experienced by Mexican Americans with end-stage renal disease (ESRD) and their families living with dialysis. In-depth interviews were conducted with 17 Mexican Americans with ESRD and 17 family members. The participants with ESRD described altered or lost activity patterns, capacities and freedoms. With a heightened awareness of death, the family members made altered occupational choices, which were consistent with their cultural values. Changes in the physical body, adhering to the dialysis regimen and environmental restrictions created barriers to occupational participation. These findings suggest that living with dialysis facilitate occupational deprivation among individuals with ESRD and adaption among the family members within cultural alignments. This phenomenon could affect the design of occupational therapy intervention and call for research on the role of occupation therapy services with this population.
Assuntos
Falência Renal Crônica/etnologia , Americanos Mexicanos/psicologia , Doenças Profissionais/etnologia , Diálise Renal/estatística & dados numéricos , Desemprego/psicologia , Adaptação Psicológica , Adulto , Idoso , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Terapia Ocupacional/estatística & dados numéricos , Ocupações/classificaçãoRESUMO
The lives of women of Mexican descent are being profoundly affected by their changing workforce participation. They are expected to make up the majority of the female workforce in service occupations by 2010. Based on the literature and personal clinical interactions two factors -- cultural values and education attainment -- consistently appear to have a strong impact on the occupational choices of Mexican American women. This article will explore the interdependence of work, culture, and education on women of Mexican origin.