Application of Leventhal's self-regulation model to Chinese immigrants with type 2 diabetes
Application of Leventhal's self-regulation model to Chinese immigrants with type 2 diabetes
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DOI：
10.1111/j.1547-5069.2001.00053.x
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发表时间：
2001-01-01
影响因子：
3.4
通讯作者：
Rankin, SH
中科院分区：
文献类型：
--
作者：
Jayne, RL;Rankin, SH
目的和背景：为验证Leventhal自我调节模式在中国移民2型糖尿病患者中的应用，设计与方法：采用质性研究方法，对30名中国移民2型糖尿病患者进行访谈，根据Leventhal自我调节模式的组成部分对数据进行分类分析。参与者从美国西海岸唐人街健康中心招募，并进行了采访，以确定有关健康和疾病的信念，ave塑造的文化factors.Findings：自我调节模型的应用表明，参与者不清楚的病因和慢性糖尿病和解释疾病的耻辱。应对策略包括一厢情愿，相信有权势的人，保守糖尿病的秘密，避免社交场合。参与者缺乏评估他们的应对策略的影响的能力。结论：卫生保健提供者可以帮助2型糖尿病患者制定批判性思维策略，而不是依靠一套规则来控制血糖水平。自我调节模式是有用的，在剖析一个弱势群体的糖尿病管理，社会环境和自我形象，可以通过周到的病人教育策略得到改善。
Purpose and Background: To demonstrate the application of Leventhal's Self-Regulation Model with a group of Chinese immigrants with type 2 diabetes.Design and Methods: Using qualitative methods and a convenience sample of 30 Chinese immigrants, interviews were analyzed by categorizing data according to the components of the Leventhal model. Participants were recruited from a U.S. West Coast Chinatown health center and were interviewed to identify beliefs about health and illness that ave shaped by cultural factors.Findings: Application of the self-regulation model indicated that participants were unclear about the etiology and chronicity of diabetes and interpreted the illness as stigmatizing. Coping strategies included wishful thinking, belief in powerful others, keeping diabetes a secret, and avoiding social situations. Participants lacked the ability to appraise the effects of their coping strategies.Conclusions: Health care providers can help people with type 2 diabetes develop critical-thinking strategies instead of relying on sets of rules to gain control of blood glucose levels. The self-regulation model was useful in profiling a vulnerable group whose diabetes management, social environment, and self-image could be improved through thoughtful patient education strategies.