Self-Care in Korean Immigrants with Chronic Diseases: A Concept Analysis.
Eun Jo Kim, Sarah E Choi
PMID 37151052WHAT IT FOUND
For Korean immigrants with chronic disease, self-care meant treatment adherence, family meal choices, traditional gender roles, acculturation, and mental health.
Nurses may need to plan education around family and cultural expectations.
Key findings
01Self-care was defined as an ongoing, multidimensional process after diagnosis, shaped by treatment adherence, lifestyle control, mental health, acculturation, and traditional Korean gender roles.
026 attributes emerged: aging well with disease, treatment adherence, control and restriction, the acculturation process, care built on traditional Korean gender roles, and maintaining mental health.
03Family and gender roles were central: men were described as deferring most diabetes care to spouses, while wives prioritized family meal preferences over prescribed diabetes diets.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
This is a concept analysis of existing literature, not a trial or patient outcome study, so it cannot tell you whether a self-care approach works. Only 24 articles were included: 15 were about type 2 diabetes, 6 were about hypertension, 1 was about both, 1 was about chronic obstructive pulmonary disease and asthma, and 1 was about chronic hepatitis B. The reviewed studies involved first-generation Korean immigrants only, so findings may not apply to Korean Americans born in the United States or later generations. Some source studies recruited from specific religious communities, which may limit generalizability. The search may have missed relevant articles, and geographic differences within the United States could not be examined. The term Korean American was used inconsistently across the reviewed literature, so the population definition is not precise.
Declared interests
The authors declared no potential conflicts of interest and received no financial support for the research, authorship, or publication.
The easy way to misread this
Do not treat this model as evidence that family-centered education or culturally tailored self-care improves Korean immigrant patients' health. It analyzed concepts from 24 existing studies and did not test an intervention or report patient outcomes.