Problems American Indian/Alaska Native adult patients face when attemting the long term self management of their type II diabetes disease process

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Montana State University - Bozeman, College of Nursing


The American Indian/Alaska Natives people are plagued by Type II Diabetes. The poor management of this disease process has dire effects on the morbidity and mortality of this population. It is imperative to identify the challenges that this group of people face with the self-management of Type II Diabetes. The conceptual framework for this study was based on Dorothea Orem's health deviation of self-care requisites. These health deviations result from the disease state and are used for diagnosis and treatment (Orem, 1985). The literature review and the discussion of results with the relevant literature were organized according to Orem's six themes of health deviations in the self-management. A qualitative research method, involving open-ended interviews with five Native American participants, was used. The participants were asked questions regarding their diagnosis, challenges in self-management, knowledge of long term effects, and additional needed resources. The data were analyzed using Luborsky's (1994), method of thematic analysis to identify the challenges Native American adults encounter in the self-management of Type II Diabetes, resulting in 8 topics. These included: a) feelings about Type II Diabetes diagnosis and the implications for lifestyle changes, b) prior experiences with family who have Type II Diabetes, c) challenges and lifestyle changes in managing Type II Diabetes, d) personal contributing factors to poor management, e) support systems for managing Type II Diabetes, f) identification of good management of Type II Diabetes, g) knowledge of long term effects of Type II Diabetes, h) additional support and resources needed to manage Type II Diabetes. Diabetes is a complex disease process that requires ongoing education and consistent medical care. It is essential that health care providers evaluate and tailor their care to the challenges of their patient population to improve the health status of those with Type II Diabetes.




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