北坎特伯雷地区毛利人对糖尿病及糖尿病医疗服务的态度。

Maori attitudes to diabetes and diabetes health care delivery in north Canterbury.

作者信息

de Lore D, Hamilton A, Brown L, Lunt H

机构信息

Christchurch Hospital.

出版信息

N Z Med J. 1993 Feb 24;106(950):60-1.

PMID:8437762

Abstract

AIMS

The study aims were as follows: (1) To obtain information regarding Maori attitudes to diabetes and to the services provided by a specialist diabetes clinic in Christchurch; (2) to initiate discussion about local diabetes health care delivery for Maori.

METHODS

A questionnaire was designed following advice from professional Maori health researchers, with the aim of assessing Maori attitudes to diabetes and specialist diabetes services, available in Christchurch.

RESULTS

The questionnaire was delivered to 51 (77%) of the 66 Maori with noninsulin dependent diabetes (NIDDM), attending a specialist diabetes clinic in Christchurch. Although 47 of the 51 subjects were able to name one or more diabetes complications, only five subjects named heart disease as a complication, despite the fact that heart disease is a major cause of mortality in NIDDM: Subjects were selected on the basis of being hospital specialist clinic attenders and the majority were satisfied with currently available services, yet 10 of the 51 subjects indicated that they would prefer marae-based to hospital-based diabetes health care, if they had a choice.

CONCLUSIONS

The process of questionnaire interview and dissemination of results proved to be a cost-effective means of initiating local discussion about future directions for Maori diabetes health care delivery.

摘要

目的

本研究目的如下：（1）获取有关毛利人对糖尿病以及克赖斯特彻奇一家专业糖尿病诊所所提供服务的态度的信息；（2）启动关于为毛利人提供当地糖尿病医疗服务的讨论。

方法

在专业毛利健康研究人员的建议下设计了一份问卷，旨在评估毛利人对克赖斯特彻奇现有的糖尿病及专业糖尿病服务的态度。

结果

问卷发放给了在克赖斯特彻奇一家专业糖尿病诊所就诊的66名非胰岛素依赖型糖尿病（NIDDM）毛利患者中的51名（77%）。尽管51名受试者中有47人能说出一种或多种糖尿病并发症，但只有5人将心脏病列为并发症，尽管心脏病是NIDDM患者死亡的主要原因。受试者是基于在医院专科诊所就诊而被挑选出来的，大多数人对现有服务感到满意，但51名受试者中有10人表示，如果可以选择，他们更倾向于以毛利会堂为基础的糖尿病医疗服务而非以医院为基础的服务。