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使用谈话圈进行科曼奇妇女的乳房健康教育。

Use of the talking circle for Comanche women's breast health education.

机构信息

University of New Mexico, Albuquerque, NM 87131-0001, USA.

出版信息

J Transcult Nurs. 2010 Oct;21(4):377-85. doi: 10.1177/1043659609360847. Epub 2010 Jul 2.

DOI:10.1177/1043659609360847
PMID:20601548
Abstract

BACKGROUND

As breast cancer screening is critical to early detection and treatment, it is imperative to furnish health care providers with effective educational materials for the populations they serve. To do so for Comanche American Indian women requires understanding the cultural constructs that influence the use of screening and treatment recommendations.

PURPOSE

The purpose of this article is to describe the health-illness beliefs and barriers to breast health for a group of Comanche women.

DESIGN

This was a descriptive, qualitative study guided by the principles of community-based participatory research. Seven community health representatives serving Comanche women participated in a "Talking Circle," an indigenous method of making decisions and conducting group process among American Indian people.

FINDINGS

Themes were Barriers to Information, Barriers to Screening, Economic Barriers, Barriers to Follow-up, and Protecting Our Women.

DISCUSSION

This study provided insight into barriers to breast health for women in the Comanche Nation. These findings contribute to a foundation for enhancements needed to make breast health education and interventions culturally appropriate. These findings also add to the cultural knowledge of nurses for use in the practice area to improve understanding and communication with American Indian patients.

摘要

背景

由于乳腺癌筛查对于早期发现和治疗至关重要,因此必须为服务人群的医疗保健提供者提供有效的教育材料。要为科曼奇印第安妇女做到这一点,就需要了解影响筛查和治疗建议使用的文化结构。

目的

本文旨在描述一组科曼奇妇女的健康疾病信念和乳腺健康障碍。

设计

这是一项描述性、定性研究,以社区为基础的参与式研究原则为指导。七名为科曼奇妇女服务的社区卫生代表参加了“谈话圈”,这是一种美洲印第安人做出决策和进行群体过程的本土方法。

发现

主题是信息障碍、筛查障碍、经济障碍、随访障碍和保护我们的妇女。

讨论

本研究深入了解了科曼奇民族妇女的乳腺健康障碍。这些发现为增强乳腺健康教育和干预措施的文化适宜性提供了基础。这些发现还增加了护士在实践领域的文化知识,以提高与美洲印第安患者的理解和沟通。

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