Smith-Miller Cheryl A, Berry Diane C, Miller Cass T
University of North Carolina Hospital, Nursing Quality and Research, Adjunct Professor, School of Nursing, University of North Carolina, Chapel Hill, North Carolina.
School of Nursing, University of North Carolina, Chapel Hill, North Carolina.
Res Nurs Health. 2017 Dec;40(6):541-554. doi: 10.1002/nur.21817. Epub 2017 Sep 6.
This article is a report of qualitative findings of a mixed-methods study of the relationships among knowledge, self-efficacy, health promoting behaviors, and type 2 diabetes mellitus (T2DM) self-management among limited-english-proficient recent Hispanic immigrants, a population with increased incidence of T2DM and barriers to successful T2DM management. Semi-structured interviews were conducted with 30 participants, and physiological and demographic data also were collected. The participants generally attributed developing the disease to strong emotions and viewed T2DM as a serious disease. Although a majority understood the importance of exercise and diet in T2DM self-management, other aspects such as medication adherence were not well-understood. Obstacles to effective T2DM self-management were negative interactions and communications with health care providers and other personnel, cultural stigma related to the disease, financial constraints, immigration status, and the complexity of the disease. Suggested interventions to improve the care and self-management of this at-risk population are discussed.
本文是一项混合方法研究的定性研究结果报告，该研究探讨了英语水平有限的近期西班牙裔移民的知识、自我效能、健康促进行为与2型糖尿病（T2DM）自我管理之间的关系。这一人群的T2DM发病率较高，且在成功管理T2DM方面存在障碍。对30名参与者进行了半结构化访谈，并收集了生理和人口统计学数据。参与者普遍将患病归因于强烈的情绪，并将T2DM视为一种严重的疾病。虽然大多数人明白运动和饮食在T2DM自我管理中的重要性，但对药物依从性等其他方面的理解并不充分。有效进行T2DM自我管理的障碍包括与医疗保健提供者及其他人员的负面互动和沟通、与该疾病相关的文化耻辱感、经济限制、移民身份以及疾病的复杂性。文中还讨论了为改善这一高危人群的护理和自我管理而提出的干预措施。
