菲律宾裔美国人的殖民心态和糖尿病自我管理
Rey Paolo Ernesto Roca1, Behnan Albahsahli2, Gilkevyn Joseph Gaw Palao3
1University of California, Los Angeles, California, USA.
Nursing open
|February 28, 2025
概括
殖民心态对2型糖尿病 (T2DM) 的菲律宾裔美国人糖尿病自我管理产生负面影响. 内化自卑和羞耻与较差的血糖控制,医疗保健使用和整体自我管理有关.
科学领域:
- 健康差异研究 研究健康差异研究
- 慢性疾病管理的心理社会方面
- 文化心理学 文化心理学
背景情况:
- 菲律宾裔美国人经历了重大的健康差异,包括2型糖尿病 (T2DM) 的高患病率.
- 殖民心态,一种反映内化压迫的心理构造,可能会影响少数民族群体的健康行为.
- 了解影响糖尿病自我管理的因素对于改善这一群体的健康结果至关重要.
研究的目的:
- 调查菲律宾裔美国人与T2DM之间殖民心态和糖尿病自我管理之间的关系.
- 确定与糖尿病自我管理行为相关的殖民心态的特定维度.
主要方法:
- 对37名18岁以上的菲律宾裔美国人进行了横截面调查研究,这些美国人患有T2DM.
- 使用了菲律宾裔美国人的殖民精神尺度和糖尿病自我管理问卷.
- 用描述性统计,独立的t测试和Pearson的r相关性来分析数据.
主要成果:
- 在内化文化/民族劣等感和文化耻辱 (殖民心态) 和糖尿病自我管理行为之间发现了中度的负面关联.
- 较差的血糖控制,医疗保健利用和整体自我管理与这些殖民心态维度的较高水平有关.
- 虽然在统计学上并不显著,但男性报告的殖民心态表现比女性更大.
结论:
- 殖民心态,特别是内化自卑和羞耻感,是菲律宾裔美国人T2DM的有效糖尿病自我管理的障碍.
- 这些发现凸显了对文化敏感干预措施的需要,这些干预措施应对该社区糖尿病护理中的社会心理因素.
- 这项研究是第一个实证地证明了菲律宾裔美国人的殖民心态和糖尿病自我管理之间的联系.
相关概念视频
Diabetes: Management and Pharmacotherapy
227
The therapy for diabetes aims to alleviate hyperglycemia-related symptoms, prevent acute metabolic decompensation, and reduce chronic end-organ complications. Glycemic control is evaluated through short-term (self-monitoring, continuous glucose monitoring) and long-term (A1c, fructosamine) metrics, enabling near real-time tracking of blood glucose levels and reflecting glycemic control over specific time frames.
Insulin remains the cornerstone of treatment for most patients with type 1 and many...
Insulin remains the cornerstone of treatment for most patients with type 1 and many...
227
Diabetes Mellitus: Type 2 and Gestational
2.1K
Type 2 diabetes, characterized by insulin resistance, arises when the insulin receptors on cells lose responsiveness to insulin, diminishing the cell's capacity to take up glucose, resulting in elevated blood glucose levels. To receive a diagnosis of Type 2 diabetes, a series of blood glucose tests are necessary to assess whether the blood glucose falls within normal parameters. If the result is out of the normal range, a patient may be diagnosed as prediabetic or diabetic, depending on the...
2.1K
Diabetes: Symptoms, Diagnosis, and Complications
495
For most patients, experiencing several weeks of polyuria, polydipsia, fatigue, and significant weight loss may indicate the presence of diabetes. Furthermore, adults displaying the phenotypic appearance of type 2 diabetes (particularly those who are obese and not initially insulin-requiring), may have islet cell autoantibodies, suggesting autoimmune-mediated β cell destruction and a diagnosis of latent autoimmune diabetes of adults (LADA). The categorization of glucose homeostasis is...
495
Diabetes Mellitus: Overview and Type I Subtype
2.3K
Diabetes mellitus is a chronic metabolic disorder characterized by high blood glucose levels due to inadequate insulin production, insulin resistance, or both. The condition affects millions worldwide and can significantly impact their health and quality of life.
Type 1 diabetes is an autoimmune disease in which the immune system mistakenly attacks and destroys the insulin-producing beta cells in the pancreas. As a result, the body is unable to produce sufficient insulin, and individuals with...
Type 1 diabetes is an autoimmune disease in which the immune system mistakenly attacks and destroys the insulin-producing beta cells in the pancreas. As a result, the body is unable to produce sufficient insulin, and individuals with...
2.3K
Pathophysiology of Diabetes
842
Diabetes mellitus is a chronic metabolic disorder characterized by hyperglycemia. The four categories of diabetes are type 1 diabetes, type 2 diabetes, other specific types of diabetes, and gestational diabetes.
Type 1 diabetes is characterized by autoimmune-mediated destruction of pancreatic β cells, with environmental factors potentially triggering this process in genetically susceptible individuals. Despite many not having a family history, certain genes increase susceptibility,...
Type 1 diabetes is characterized by autoimmune-mediated destruction of pancreatic β cells, with environmental factors potentially triggering this process in genetically susceptible individuals. Despite many not having a family history, certain genes increase susceptibility,...
842
Carbohydrate Metabolism
10.7K
Carbohydrates are polymers composed of molecules containing atoms of carbon, hydrogen and oxygen. One gram of carbohydrate can provide four kilo-calories of energy, which makes it the most efficient instant energy source.
Starch accounts for approximately 60% of the carbohydrates consumed by humans. Since amylase enzymes cannot function in the stomach's acidic environment, starch can only be digested in the mouth and small intestine. Simple sugars are found naturally in milk and fruits in...
Starch accounts for approximately 60% of the carbohydrates consumed by humans. Since amylase enzymes cannot function in the stomach's acidic environment, starch can only be digested in the mouth and small intestine. Simple sugars are found naturally in milk and fruits in...
10.7K


