Perceptions of barriers in managing diabetes: perspectives of Hispanic immigrant patients and family members.
Perceptions of barriers in managing diabetes: perspectives of Hispanic immigrant patients and family members.
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DOI：
10.1177/0145721713486200
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发表时间：
2013-07
期刊：
影响因子：
--
通讯作者：
Letvak S
中科院分区：
文献类型：
--
作者：
Hu J;Amirehsani K;Wallace DC;Letvak S
与非西班牙裔白人相比，西班牙裔对2型糖尿病的自我管理能力更差。尽管以前的研究已经报道了拉美裔糖尿病自我管理的社会经济和文化障碍，但从拉美裔及其家庭成员的角度来看，对糖尿病自我管理的感知障碍知之甚少。这项研究的目的是探索患有糖尿病的西班牙裔移民及其家庭成员的感知障碍。使用五个焦点小组进行了定性研究。在美国东南部招募了73名患有2型糖尿病的西班牙裔移民(n=36)和家庭成员(n=37)，进行了一项基于家庭的糖尿病自我管理干预研究。参与者被要求描述他们对自我管理障碍的看法。这五次会议被录音和转录，从西班牙语翻译成英语，并使用标准内容分析进行分析。对糖尿病患者和他们的家庭成员进行了人口统计学、糖化血红蛋白水平、血压和体重指数的测量。糖尿病参与者确定的糖尿病自我管理主题的障碍分为三大主题：糖尿病患者、疾病管理困难和缺乏资源/支持。出现了与家庭成员有关的两个关键主题：我们可以提供支持，但我们缺乏知识。患有糖尿病的西班牙裔移民及其家庭成员所描述的糖尿病自我管理的感知障碍表明，缺乏满足他们需求的干预策略。干预措施应包括与文化相关的资源、家庭支持和糖尿病自我管理技能教育。
Hispanics show poorer self-management of type 2 diabetes than non-Hispanic Whites. Although previous studies have reported socioeconomic and cultural barriers to diabetes self-management by Hispanics, little is known about perceived barriers to diabetes self-management from the perspectives of both Hispanics and their family members. The purpose of the study was to explore perceived barriers among Hispanic immigrants with diabetes and their family members. A qualitative study using five focus groups was conducted. A total of 73 Hispanic immigrants with type 2 diabetes (n=36) and family members (n=37) were recruited in the southeastern United States for a family-based intervention study of diabetes-self management. Participants were asked to describe their perceptions of barriers to self-management. The five sessions were audiotaped and transcribed, translated from Spanish into English, and analyzed using standard content analysis. Demographics, hemoglobin A1C levels, blood pressure and BMI were obtained both for participants with diabetes and for their family members. Barriers to diabetes self-management themes identified by participants with diabetes were in three major themes categorize: suffering from diabetes, difficulties in managing the disease, and lack of resources/support. Two key themes emerged pertaining to family members: we can provide support and we lack knowledge. Perceived barriers to diabetes self-management described by Hispanic immigrants with diabetes and family members indicate a lack of intervention strategies to meet their needs. Interventions should include culturally relevant resources, family support, and diabetes self-management skills education.
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影响因子：
16.2
作者：
通讯作者：
--
影响因子：
2.1
作者：
Clark, Lauren;Vincent, Deborah;Sanchez, Jessica
通讯作者：
Sanchez, Jessica
华盛顿州农村西班牙裔 2 型糖尿病患者： 社区利益相关者的观点
影响因子：
1.9
作者：
Livaudais, Jennifer C.;Thompson, Beti;Coronado, Gloria D.
通讯作者：
Coronado, Gloria D.
DOI：
10.1080/10911351003765967
发表时间：
2010-01-01
影响因子：
1.6
作者：
Lopez-Class, Maria;Jurkowski, Janine
通讯作者：
Jurkowski, Janine
影响因子：
1.1
作者：
Chilton, Linda;Hu, Jie;Wallace, Debra C.
通讯作者：
Wallace, Debra C.