Cultural expressions of bodily awareness among chronically ill Filipino Americans.

Cultural expressions of bodily awareness among chronically ill Filipino Americans.
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DOI:
10.1370/afm.39
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发表时间:
2003-07-01
影响因子:
4.4
通讯作者:
Becker, Gay
Becker, Gay
中科院分区:
医学1区
文献类型:
--
作者:
Becker, Gay

文献摘要

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目的:描述菲律宾裔美国人关于身体意识的文化传统,特别是平衡原则如何影响他们的观点,以及与慢性疾病自我管理的联系。方法:本定性研究采用半结构化访谈,访谈对象为85名年龄在46岁至97岁之间的菲律宾裔美国人。志愿者是从美国一个地理位置的众多医疗保健站点招募的。受访者有一种或多种慢性疾病。录音和转录的访谈被编码并评估主题。结果:平衡的概念是核心的菲裔美国人的写照身体意识的迹象和症状有关的慢性疾病,以及他们采取的行动来管理他们的慢性疾病。通过各种自我保健措施,努力控制慢性病。饮食构成了一个特别的挑战,因为食物在菲律宾文化中的象征意义及其在维持社会关系中的作用。结论:菲律宾裔美国人将对身体的关注、平衡与和谐的价值观以及对社会福祉的强调结合起来的方式导致了对身体过程的高度关注。菲律宾裔美国人对身体意识的强调表明,这种特殊的文化力量可以用来加强慢性疾病的管理。了解菲律宾裔美国人的文化传统可以促进对患者的教育,让他们了解如何管理慢性疾病。
PURPOSE: To describe Filipino Americans' cultural traditions surrounding bodily awareness, especially how the principle of balance informs their views, and the link to self-management of chronic illness.METHODS: This qualitative study used semistructured interviews with 85 Filipino Americans between the ages of 46 and 97 years. Volunteers were recruited from numerous health care sites in 1 geographic location in the United States. Respondents had 1 or more chronic illnesses. Taped and transcribed interviews were coded and evaluated for themes.RESULTS: The concept of balance was central to Filipino Americans' portrayal of bodily awareness of signs and symptoms related to chronic illnesses, as well as to actions they took to manage their chronic illnesses. Efforts were made to control chronic illnesses through a variety of self-care practices. Diet posed a particular challenge because of the symbolic importance of food in Filipino culture and its use in the maintenance of social relationships.CONCLUSIONS: The ways in which Filipino Americans combine attention to the body, values of balance and harmony, and emphasis on social well-being result in heightened attention to bodily processes. Filipino Americans' emphasis on bodily awareness suggests that this particular cultural strength can be used to enhance chronic illness management. Awareness of the cultural traditions of Filipino Americans can facilitate patient education about how to manage chronic illnesses.