American Indians' Family Health Concern on a Northern Plains Reservation: "Diabetes Runs Rampant Here".
American Indians' Family Health Concern on a Northern Plains Reservation: "Diabetes Runs Rampant Here".
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DOI：
10.1111/phn.12225
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发表时间：
2016-01
期刊：
影响因子：
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通讯作者：
Anderson K
中科院分区：
文献类型：
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作者：
Martin D;Yurkovich E;Anderson K
目的是从居住在美国北部平原保留地的成年部落成员的角度确定重大的家庭健康问题。研究结果用于共同制定适合文化的战略，以解决最重要的家庭健康问题。采用了参与性框架内的重点民族志。一个由七名部落成员组成的咨询委员会指导研究小组。采用了滚雪球过程的有目的抽样技术。21名成年部落成员自愿参加。面对面、录音、半结构化的访谈进行，并逐字记录。其他数据来源包括大约100小时的现场工作记录、挡风玻璃调查和焦点小组。使用Spradley的指南分析数据。重要的家庭健康问题是“糖尿病在这里猖獗”，与认知、情感和行为反应相互关联。这些反应因目睹过早死亡和与糖尿病相关的严重合并症而积累的情感创伤而复杂化。确定了形成“糖尿病在这里猖獗”的环境因素。糖尿病的预防和管理项目迫切需要整体方法。讨论了对公共卫生护士的影响，并为未来的研究提供了建议。
The objective was to identify significant family health concerns from the perspective of adult tribal members residing in a reservation setting on the Northern Plains of the United States. Findings were used to co-create culturally appropriate strategies to address the most significant family health concern. A focused ethnography within a participatory framework was employed. An advisory council, comprised of seven tribal members, guided the research team. A purposive sampling technique with a snowball process was used. Twenty-one adult tribal members volunteered to participate. Face-to-face, audio-recorded, semi-structured interviews were conducted and transcribed verbatim. Other data sources included field notes of approximately 100 hours of field work, windshield surveys, and a focus group. Data were analyzed using Spradley’s guidelines. The significant family health concern was “diabetes runs rampant here” with inter-related cognitive, emotional and behavioral responses. These responses were compounded by accumulated emotional trauma from witnessing premature deaths and severe comorbidities associated with diabetes. Contextual factors shaping “diabetes runs rampant here” were identified. Holistic approaches are urgently needed in diabetes prevention and management programs. Implications for public health nurses are discussed and recommendations are provided for future research.