Diabetes self-management: Perspectives of Latino patients and their health care providers
Diabetes self-management: Perspectives of Latino patients and their health care providers
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DOI：
10.1016/j.pec.2006.12.003
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发表时间：
2007-05-01
影响因子：
3.5
通讯作者：
Bermudez, Odilia I.
中科院分区：
文献类型：
--
作者：
Carbone, Elena T.;Rosal, Milagros C.;Bermudez, Odilia I.
根据拉美裔糖尿病患者的经验、文化、社会心理特征和世界观量身定制的生活方式改变方案可以改善他们的知识、自我保健行为和血糖控制。然而，关于改善拉丁美洲人糖尿病自我管理的数据很少。此外，照顾这些病人的医生的观点和做法很少受到关注。目的：本研究描述了定性研究的结果，为拉丁裔2型糖尿病患者量身定制的自我管理干预措施的改进提供信息。方法：两个从业者焦点小组评估患者的知识，态度和行为的看法。四个患者焦点小组检查了知识、信念、实践、障碍和促进因素。将数据转录并进行内容分析。结果：37名在社区诊所寻求治疗的患者参与，以及15名卫生保健从业人员。确定了关于糖尿病病因和自我管理的重要知识差距。患者普遍对自我管理持消极态度。主要的促进因素包括强烈的宗教信仰和医生的支持。家庭既促进又阻止采用自我管理做法。结论：本研究为拉丁裔患者及其医疗服务提供者在糖尿病自我管理方面的知识、态度、实践和感知障碍提供了独特的见解。实践意义：研究结果强调需要为这一人群制定量身定制的计划，并培训从业者实施这些计划。2006爱思唯尔爱尔兰有限公司版权所有。
Lifestyle modification programs tailored to experience, culture, psychosocial characteristics, and world-view can improve knowledge, self-care behaviors, and glucose control among Latinos with diabetes. Few data exist, however, on improving diabetes self-management among Latinos. In addition, views and practices of practitioners caring for these patients have received little attention.Objective: This study describes findings from qualitative research to inform the refinement of self-management interventions tailored to Latino patients with type 2 diabetes.Methods: Two practitioner focus groups assessed perceptions of patients' knowledge, attitudes, and behaviors. Four patient focus groups examined knowledge, beliefs, practices, barriers, and facilitators. Data were transcribed and subjected to content analysis.Results: Thirty-seven patients seeking care at a community clinic participated, along with 15 health care practitioners. Important knowledge gaps regarding diabetes causation and self-management were identified. Negative attitudes towards self-management were common among patients. Key facilitators included strong religious faith and support of medical practitioners. Families both facilitated and prevented adoption of self-management practices.Conclusion: This study provides unique insights into the knowledge, attitudes, practices, and perceived barriers facing Latino patients and their providers regarding diabetes self-management.Practice implications: Study findings underscore the need to develop tailored programs for this population and to train practitioners on their implementation. (c) 2006 Elsevier Ireland Ltd. All rights reserved.