dela Cruz Felicitas A, Galang Carmen B
School of Nursing, Azusa Pacific University, Azusa, California 91702, USA.
J Am Acad Nurse Pract. 2008 Mar;20(3):118-27. doi: 10.1111/j.1745-7599.2007.00301.x.
The purpose of this study was to describe the illness beliefs, perceptions, and practices of Filipino Americans (FAs) with hypertension (HTN) to reveal their explanatory models (EMs) of the illness.
Audiotapes and transcripts of focus group interviews and observational notes were subjected to content analysis. Medical records and related empirical studies provided supporting data.
In general, the EMs of FAs with HTN correspond to the biomedical model in relation to causes, consequences, and treatment of HTN. However, in spite of this biomedical knowledge, FAs with HTN have difficulty maintaining the required lifestyle changes and adhering to the medication regimen to control their illness.
It is important for NPs to assess the EMs of FAs with HTN, including their use of traditional folk remedies and practitioners of folk medicine. The challenge is to provide cardiovascular health promotion and education in a culturally sensitive, congruent, and tailored manner to FAs with HTN to help them control their illness.
本研究旨在描述患有高血压(HTN)的菲律宾裔美国人(FAs)的疾病信念、认知和行为,以揭示他们对该疾病的解释模型(EMs)。
焦点小组访谈的录音带、文字记录以及观察笔记都进行了内容分析。医疗记录和相关实证研究提供了支持数据。
总体而言,患有高血压的菲律宾裔美国人的解释模型在高血压的病因、后果和治疗方面与生物医学模型相符。然而,尽管有这种生物医学知识,患有高血压的菲律宾裔美国人在维持所需的生活方式改变和坚持药物治疗方案以控制疾病方面仍有困难。
对于执业护士(NPs)来说,评估患有高血压的菲律宾裔美国人的解释模型非常重要,包括他们对传统民间疗法和民间医生的使用。挑战在于以文化敏感、一致且量身定制的方式为患有高血压的菲律宾裔美国人提供心血管健康促进和教育,以帮助他们控制疾病。