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从文化视角理解海地裔美国女性中的2型糖尿病

Understanding Type 2 Diabetes Mellitus Among Haitian American Women: A Cultural Perspective.

作者信息

Bivins Balky, Hershorin Indra R, Umadhay Lonar M

机构信息

University of Miami School of Nursing &s Health Studies, 5030 Brunson Dr, Coral Gables, FL 33146,

Barry University College of Nursing and Health Sciences, Miami Shores, FL 33161.

出版信息

J Natl Black Nurses Assoc. 2020 Jul;31(1):32-40.

PMID:32853494
Abstract

The prevalence of type 2 diabetes mellitus (T2DM) is 19.7% in Haiti (DeGennaro et al., 2018). Haitian American women (HAW) experience difficulties with adherence to T2DM treatment and management (Bivins, 2016; Magny-Normilus et al., 2019; Vimalananda et al., 2011; Huffman et al., 2013); however, no previous study was found that focused exclusively on Haitian American women with T2DM. Van Manen's six research activities guided this phenomenological qualitative inquiry. Recruitment included 25 Haitian American women (N = 25) with T2DM from three South Florida counties. Data were collected using a vignette and audio-recorded semi-structured interviews with open-ended questions. Recordings were then transcribed and analyzed to identify thematic concepts and patterns. Themes of spiritualizing and shifting cultural norms with the subtheme of dietary restrictions were found. In conclusion, to promote health outcomes nurses must incorporate these salient factors in the care of Haitian American women with T2DM.

摘要

海地2型糖尿病(T2DM)的患病率为19.7%(德根纳罗等人,2018年)。海地裔美国女性(HAW)在坚持T2DM治疗和管理方面存在困难(比文斯,2016年;马格尼 - 诺米卢斯等人,2019年;维马兰南达等人,2011年;赫夫曼等人,2013年);然而,之前未发现有专门针对患有T2DM的海地裔美国女性的研究。范曼的六项研究活动指导了这项现象学定性研究。招募对象包括来自南佛罗里达三个县的25名患有T2DM的海地裔美国女性(N = 25)。数据通过使用一个小插曲以及对开放式问题进行录音的半结构化访谈来收集。然后对录音进行转录和分析,以确定主题概念和模式。发现了以饮食限制为子主题的精神化和转变文化规范的主题。总之,为了促进健康结果,护士必须将这些显著因素纳入对患有T2DM的海地裔美国女性的护理中。

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