Martinez N C
Department of Medicine, University of Texas Health Science Center, San Antonio 78284.
Nurs Clin North Am. 1993 Mar;28(1):87-95.
Hispanic American people in the United States represent a diverse group by origin, with Mexican Americans comprising the largest and fastest growing segment of this minority population. Whereas few studies have been undertaken to explore diabetes in other Hispanic American groups, several population-based studies have yielded outcomes reflecting significant prevalence and incidence of type II NIDDM among Mexican American people. These rates underscore the need for increasing attention toward understanding dimensions of the population that may effect positive health outcomes. Such is the role of cultural nursing as it relates to diabetes care and education of this population. Cultural nursing embodies a holistic approach to care with focus on assessment of cultural dimensions and attributes as they pertain to the individual with diabetes. Although cultural attributes may vary by ethnic origin, person, and region of the country, the diabetes nurse educators' appreciation of the cultural domain of Hispanicism best provides the patient with the opportunity to effect enactment of necessary diabetes self-care behaviors.
在美国，西班牙裔美国人在起源上是一个多样化的群体，其中墨西哥裔美国人是这一少数族裔中人数最多且增长最快的部分。虽然很少有研究探索其他西班牙裔美国人群体中的糖尿病情况，但一些基于人群的研究得出的结果显示，墨西哥裔美国人中II型非胰岛素依赖型糖尿病的患病率和发病率都很高。这些数据凸显了需要更多关注那些可能影响健康积极结果的人群维度。这就是文化护理在该人群糖尿病护理和教育中所起的作用。文化护理体现了一种整体护理方法，重点是评估与糖尿病患者相关的文化维度和特征。尽管文化特征可能因种族起源、个人以及所在国家的地区而有所不同，但糖尿病护士教育者对西班牙文化领域的理解最能为患者提供机会，促使他们实施必要的糖尿病自我护理行为。
