“生活有苦有甜”：泰国农村少数民族 2 型糖尿病患者的生活体验。
"Life is Bitter and Sweet": The Lived Experience of Ethnic Minority Elders with Type 2 Diabetes Mellitus in Rural, Thailand.
机构信息
School of Nursing, Mae Fah Luang University, Thailand; Center of Excellence for the Hill Tribe Health Research (CEHR), Mae Fah Laung University, Thailand.
School of Nursing, Mae Fah Luang University, Thailand.
出版信息
Asian Nurs Res (Korean Soc Nurs Sci). 2022 Aug;16(3):155-161. doi: 10.1016/j.anr.2022.05.005. Epub 2022 May 31.
PURPOSE
The purpose of this study was to describe the lived experience of ethnic minority elders (EME) with type 2 diabetes mellitus (T2DM) to understand an individual's experience, perception, and behaviors connected to T2DM in rural areas where support is limited.
METHOD
The hermeneutic phenomenological methodology was used to explore the lived experience of EME with T2DM by using conversational interviews. Twenty EME were interviewed. The data analysis and interpretation followed the thematic analysis by van Manen.
RESULTS
Analysis highlighted an overarching theme of "Life is Bitter and Sweet" and three main themes: (1) the struggle of living with diabetes, (2) living with inequalities, and (3) dealing with diabetes that reflects the experiences of EME with T2DM living in underserved areas based on the cultures, beliefs, and spirits.
CONCLUSIONS
The finding led to recommendations to strengthen interventions by family members, improve supportive systems and services to improve knowledge, self-management, and maintain physical well-being in order to increase the quality of life for the EME with T2DM.
目的
本研究旨在描述少数民族老年人（EME）2 型糖尿病（T2DM）的生活体验，以了解在支持有限的农村地区，与 T2DM 相关的个体体验、感知和行为。
方法
采用解释学现象学方法，通过对话访谈探讨 EME 与 T2DM 的生活体验。共访谈了 20 名 EME。数据分析和解释遵循范马南的主题分析。
结果
分析突出了一个总体主题“生活是苦与甜”和三个主要主题：（1）与糖尿病作斗争的生活，（2）生活中的不平等，以及（3）应对糖尿病，反映了在文化、信仰和精神的基础上，生活在服务不足地区的 EME 与 T2DM 的生活体验。
结论
这一发现建议加强家庭成员的干预措施，改善支持系统和服务，以提高知识、自我管理能力，并保持身体健康，从而提高 T2DM 少数民族老年人的生活质量。
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