Discussing depression with Vietnamese American patients.
Discussing depression with Vietnamese American patients.
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DOI：
10.1007/s10903-009-9234-y
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发表时间：
2010-04
影响因子：
1.9
通讯作者：
Paterniti, Debora A.
中科院分区：
文献类型：
--
作者：
Fancher, Tonya L.;Ton, Hendry;Le Meyer, Oanh;Ho, Thuan;Paterniti, Debora A.
背景亚洲患者倾向于从他们的初级保健提供者那里寻求精神卫生保健，但不太可能得到它。初级保健提供者需要文化上知情的策略来解决耻辱性疾病。方法11名越南裔美国人社区成员参加了半结构式访谈。对访谈进行了录音和文字记录。定性编码和主题分析采用扎根理论方法。结果越南社区成员描述了四个主题下的抑郁症的经验：（1）耻辱和面子;（2）社会功能和家庭的作用;（3）传统的治疗和对药物的信念;（4）语言和文化。基于这些数据，我们提供了改善越南裔美国人的文化知情护理的建议。我们的研究增加了旨在改善医生和越南裔美国患者之间的沟通和医疗保健关系的研究。医生应该学会根据日益多样化的患者群体调整自己的面试风格。
Background Asian patients preferentially seek mental health care from their primary care providers but are unlikely to receive it. Primary care providers need culturally-informed strategies for addressing stigmatizing illnesses. Methods 11 Vietnamese American community members participated in semi-structured interviews. Interviews were audio-taped and transcribed. The grounded theory approach was used for qualitative coding and thematic analysis. Results Vietnamese community members describe experiences with depression under four themes: (1) Stigma and face; (2) Social functioning and the role of the family; (3) Traditional healing and beliefs about medications; and (4) Language and culture. Based on this data, we offer suggestions for improving culturally-informed care for Vietnamese Americans. Disucssion Our study adds to the research aimed at improving communication and health care relationships between physicians and Vietnamese American patients. Physicians should learn to tailor their interviewing style to the increasingly diverse patient population.
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