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首页> 外文期刊>Journal of health care for the poor and underserved >Self-management among patients living with diabetes in the United States Virgin Islands.
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Self-management among patients living with diabetes in the United States Virgin Islands.

机译:美属维尔京群岛的糖尿病患者的自我管理。

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The United States Virgin Islands (USVI) is facing a diabetes epidemic similar to the one on the U.S. mainland, yet little is known regarding the cultural context relevant to self-management in this U.S. territory. We conducted in-home interviews (n=53) supplemented by self-administered questionnaire and A1c testing with U.S. Virgin Islanders to characterize self-management knowledge, attitudes, and behaviors among patients living with diabetes. The mean glycosylated hemoglobin (A1c) was 7.63 (Range=5-13); a composite score of traditional self-management behaviors was not associated with A1c. Several recurrent themes emerged from qualitative analysis including: 1) cultural nuances shaped perspectives on self-management, 2) culturally-specific challenges were barriers to effective self-management, 3) medical homes were rarely viewed as the primary source of education and support, and 4) fear largely motivated or stalled self-management practices. This study highlights the need for culturally-tailored measures and interventions to address the specific needs within this population.
机译:美属维尔京群岛(USVI)面临着与美国本土类似的糖尿病流行病,但对于美国境内与自我管理相关的文化背景知之甚少。我们进行了家庭访问(n = 53),并辅以自我管理的问卷调查和与美国维京群岛人的A1c测试,以表征糖尿病患者的自我管理知识,态度和行为。平均糖基化血红蛋白(A1c)为7.63(范围= 5-13);传统自我管理行为的综合评分与A1c无关。定性分析中出现了一些经常性的主题,包括:1)文化细微差别塑造了自我管理的观点; 2)针对特定文化的挑战是有效自我管理的障碍; 3)医务室很少被视为教育和支持的主要来源, 4)恐惧很大程度上是出于自我管理的动机。这项研究强调需要针对文化特点的措施和干预措施,以解决该人群中的特定需求。

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