Putting Self-Management in the Context of Community-Dwelling American Indians Living With Type 2 Diabetes.

IF 3.9 Q1 Health Professions

Diabetes Educator Pub Date : 2020-02-01 Epub Date: 2019-12-22 DOI:10.1177/0145721719894889

Jacqueline Jones, R Turner Goins, Mark Schure, Blythe Winchester, Vickie Bradley

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引用次数: 2

Abstract

Purpose: The purpose of this qualitative descriptive study was to examine the National Standards for Diabetes Self-Management Education and Support (DSMES) defined diabetes self-care behaviors (healthy eating, being active, taking medication, monitoring, problem solving, reducing risk, and healthy coping) in the context of older community-dwelling American Indians (AIs).

Methods: Secondary theme analysis of transcribed semistructured qualitative interview data from 28 participants in the Native Elder Care Study aged >60 years identified factors that influence the DSMES self-care behaviors in the context of community-dwelling AIs.

Results: Four themes that characterized barriers, facilitators, and opportunities for DSMES to support self-care behaviors included community food security, care partners in self-care, community opportunities for diabetes support, and blending of both health worlds.

Conclusion: Tribal communities have contemporary strengths and cultural traditions that can be activated to enhance diabetes self-management education and support. Diabetes educators can work in tandem with community health representatives to strengthen the social and community support within which individual AIs with type 2 diabetes mellitus live. Community-based participatory research with AI caregivers, dyads, families, youth, and Indian Health Service clinicians may help to improve tribal food policy and school health initiatives, as well as develop intergenerational interventions for modeling effective diabetes self-management.

查看原文本刊更多论文

在社区居住的美国印第安人2型糖尿病患者的背景下进行自我管理。

目的:本定性描述性研究的目的是检验美国糖尿病自我管理教育和支持国家标准(DSMES)定义的糖尿病自我保健行为(健康饮食、积极运动、服药、监测、解决问题、降低风险和健康应对)在老年社区居住的美国印第安人(AIs)的背景下。方法:对28名60岁以上的本地老年人护理研究参与者的转录半结构化定性访谈数据进行二次主题分析，确定影响社区居住ai背景下DSMES自我护理行为的因素。结果:DSMES支持自我保健行为的障碍、促进因素和机会有四个主题，包括社区食品安全、自我保健中的护理伙伴、社区糖尿病支持机会以及两个健康世界的融合。结论:部落社区具有当代优势和文化传统，可被激活以加强糖尿病自我管理教育和支持。糖尿病教育工作者可以与社区健康代表合作，加强社会和社区对患有2型糖尿病的人工智能患者的支持。以社区为基础的参与性研究，包括人工智能护理人员、夫妻、家庭、青年和印度卫生服务临床医生，可能有助于改善部落食品政策和学校卫生倡议，并制定代际干预措施，为有效的糖尿病自我管理建模。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Diabetes Educator 医学-内分泌学与代谢

CiteScore

4.00

自引率

0.00%

发文量

审稿时长

6-12 weeks

期刊介绍： The Diabetes Educator (TDE) is the official journal of the American Association of Diabetes Educators (AADE). It is a peer-reviewed journal intended to serve as a reference source for the science and art of diabetes management. TDE publishes original articles that relate to aspects of patient care and education, clinical practice and/or research, and the multidisciplinary profession of diabetes education as represented by nurses, dietitians, physicians, pharmacists, mental health professionals, podiatrists, and exercise physiologists.