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糖尿病具有毁灭性,而胰岛素是死刑判决:阿拉伯裔美国患者中医疗服务提供者对糖尿病自我管理的看法。

Diabetes Is Devastating, and Insulin Is a Death Sentence: Provider Perspectives of Diabetes Self-Management in Arab-American Patients.

作者信息

DiZazzo-Miller Roseanne, Pociask Fredrick D, Bertran Elizabeth A, Fritz Heather A, Abbas Malak, Tarakji Sandra, Lysack Catherine L, Jaber Linda A, Arnetz Judith

机构信息

Wayne State University, Detroit, MI.

Michigan State University, East Lansing, MI.

出版信息

Clin Diabetes. 2017 Jan;35(1):43-50. doi: 10.2337/cd15-0030.

Abstract

The purpose of this qualitative study was to examine providers' perspectives on cultural barriers and facilitators to diabetes self-management (DSM) in Arab Americans to identify factors to enhance DSM education in the Arab-American community. The main barriers to DSM from the providers' perspective were the disease itself and patients' denial or refusal to recognize it, reflecting the stigma of the disease. Cultural aspects also included overlapping themes that both facilitated and presented barriers to DSM. These results suggest that DSM education for Arab Americans will be most effective if developed and delivered in a manner consistent with the cultural facilitators and barriers noted by providers.

摘要

这项定性研究的目的是探讨医疗服务提供者对阿拉伯裔美国人糖尿病自我管理(DSM)的文化障碍和促进因素的看法,以确定增强阿拉伯裔社区DSM教育的因素。从医疗服务提供者的角度来看,DSM的主要障碍是疾病本身以及患者否认或拒绝承认它,这反映了该疾病的污名化。文化方面还包括一些重叠的主题,这些主题既促进了DSM,也构成了障碍。这些结果表明,如果以与医疗服务提供者指出的文化促进因素和障碍相一致的方式来开发和提供,针对阿拉伯裔美国人的DSM教育将最为有效。

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