Foley Evan, BeLue Rhonda
1 The Pennsylvania State University, University Park, PA, USA.
J Transcult Nurs. 2017 Jul;28(4):348-352. doi: 10.1177/1043659616649028. Epub 2016 May 5.
The purpose of this study was to identify cultural enablers and barriers to dietary management of type 2 diabetes in M'Bour, Senegal. This qualitative study used the PEN-3 cultural model to explore diabetes dietary management within a cultural framework. Content analysis identified emergent themes based on the PEN-3 model. Forty-one individuals completed interviews. Themes reflecting ways that culture affects adherence to the diabetic diet included (a) having a different diet or eating separately from the communal family plate creates feelings of social isolation; (b) forgoing the diabetic diet sometimes occurs so that family members have enough food; (c) reducing servings of traditional foods feels like abandoning culture; and (d) women being responsible for preparing food, while men typically manage money for purchasing food yet do not provide input on what food is purchased. Results suggest that educating family units on the dietary management of diabetes may be more effective than individual education.
本研究的目的是确定塞内加尔姆布尔地区2型糖尿病饮食管理的文化促进因素和障碍。这项定性研究使用PEN-3文化模型在文化框架内探索糖尿病饮食管理。内容分析基于PEN-3模型确定了新出现的主题。41人完成了访谈。反映文化影响糖尿病饮食依从性方式的主题包括：(a) 采用不同饮食或与家庭共用餐盘分开进食会产生社会隔离感；(b) 有时会放弃糖尿病饮食，以便家庭成员有足够的食物；(c) 减少传统食物的份量感觉像是抛弃文化；(d) 女性负责准备食物，而男性通常管理购买食物的资金，但不参与决定购买何种食物。结果表明，对家庭单位进行糖尿病饮食管理教育可能比个体教育更有效。
