毛利人和太平洋岛民参与毛利人主导的糖尿病项目的体验。
Māori and Pacific peoples' experiences of a Māori-led diabetes programme.
机构信息
Independent Researcher, Ora Project Solutions: Te Tai Tokerau Northland.
Senior Lecturer, Section of Epidemiology & Biostatistics, University of Auckland: Tāmaki Makaurau.
出版信息
N Z Med J. 2021 Oct 8;134(1543):79-89.
AIM
Type 2 diabetes mellitus (T2DM) disproportionately affects Māori and Pacific peoples in Aotearoa (New Zealand). Despite this, the lived experiences of T2DM and its management by Māori and Pacific peoples are scarcely acknowledged in health literature. The present study examines the lived experiences of T2DM by Māori and Pacific participants in the Mana Tū diabetes programme. Mana Tū is a Māori-led diabetes support programme co-designed by the National Hauora Coalition (NHC) alongside patients with diabetes, clinicians, health service planners and whānau ora providers.
METHOD
The study used qualitative methods underpinned by Kaupapa Māori (Māori approaches) approaches. Twenty-two semi-structured interviews were conducted with participants of the Mana Tū diabetes programme and their whānau (thirteen Māori, 9 Pacific) from Tāmaki Makaurau (Auckland) and Te Tai Tokerau (Northland).
RESULTS
The study identified barriers, facilitators and motivators for participants to live well with T2DM. Four key themes were constituted: (1) whānau experience of T2DM, (2) cultural safety in healthcare interactions, (3) whānau ora (collective family wellbeing) and (4) Kaupapa Māori approaches to health interventions. Themes were consistent across Māori and Pacific participants.
CONCLUSION
Findings suggest that Māori-led health interventions can better support Māori and Pacific people living with T2DM and are needed to ensure these communities receive appropriate, responsive and equitable healthcare.
目的
2 型糖尿病（T2DM）在新西兰的毛利人和太平洋岛民中不成比例地高发。尽管如此，T2DM 的生活体验及其在毛利人和太平洋岛民中的管理在健康文献中几乎没有得到承认。本研究考察了 Mana Tū 糖尿病计划中毛利人和太平洋参与者的 T2DM 生活体验。Mana Tū 是一个由毛利人领导的糖尿病支持计划，由国家 Hauora 联盟（NHC）与糖尿病患者、临床医生、卫生服务规划者和 whānau ora 提供者共同设计。
方法
该研究采用了基于 Kaupapa Māori（毛利方法）的定性方法。在 Tāmaki Makaurau（奥克兰）和 Te Tai Tokerau（北地）对 Mana Tū 糖尿病计划的参与者及其 whānau（13 名毛利人，9 名太平洋岛民）进行了 22 次半结构化访谈。
结果
该研究确定了参与者与 T2DM 共存的障碍、促进因素和动机。构成了四个关键主题：（1）whānau 对 T2DM 的体验，（2）医疗保健互动中的文化安全，（3）whānau ora（集体家庭幸福），（4）健康干预的 Kaupapa Māori 方法。主题在毛利人和太平洋岛民参与者中是一致的。
结论
研究结果表明，毛利人领导的健康干预措施可以更好地支持与 T2DM 共存的毛利人和太平洋岛民，并且需要确保这些社区获得适当、响应和公平的医疗保健。
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