Poss Jane E, Jezewski Mary Ann, Stuart Armando Gonzalez
Family Practitioner Program, University of Texas at El Paso, USA.
Clin Nurs Res. 2003 Nov;12(4):304-23. doi: 10.1177/1054773803256872.
The purpose of this article is to examine the use of herbal remedies to treat Type 2 diabetes among Mexican Americans in El Paso County, Texas, on the U.S.-Mexico border. Interviews were conducted in Spanish with 22 Mexican American adults diagnosed with Type 2 diabetes mellitus. Open-ended questions were used to elicit theparticipants' beliefs about the appropriate treatment of Type 2 diabetes, including both Western biomedical and herbal therapy. Kleinman's explanatory model of illness served as the framework, and the grounded theory method was used for data analysis. A majority of participants were taking prescribed Western medications in conjunction with traditional Mexican folk remedies. Participants relied on the advice of family, friends, and neighbors to provide them with guidance, and some herbs used by participants were not indicated for the treatment of diabetes. Health care providers should be aware that Mexican American clients may make choices about herbal remedies without expert guidance and advice.
本文旨在研究在美国与墨西哥边境的得克萨斯州埃尔帕索县,墨西哥裔美国人使用草药疗法治疗2型糖尿病的情况。研究人员用西班牙语对22名被诊断患有2型糖尿病的墨西哥裔美国成年人进行了访谈。采用开放式问题来了解参与者对2型糖尿病适当治疗方法的看法,包括西方生物医学疗法和草药疗法。克莱曼的疾病解释模型作为框架,采用扎根理论方法进行数据分析。大多数参与者在服用 prescribed Western medications 的同时还使用传统的墨西哥民间疗法。参与者依靠家人、朋友和邻居的建议来为他们提供指导,而且参与者使用的一些草药并未表明可用于治疗糖尿病。医疗保健提供者应该意识到,墨西哥裔美国客户可能在没有专家指导和建议的情况下选择草药疗法。