Purpose: Compare and contrast perceived symptoms of type 2 diabetes mellitus and self-management strategies between Russian speaking Slavic immigrant American women and non-Hispanic, non-immigrant white American women. Methods: The qualitative-descriptive study design was conducted with a convenience sample of Slavic immigrant women 50 years of age and older with type 2 diabetes (n=lO), and non-Hispanic, non-immigrant white American women 50 years of age and older with type 2 diabetes (n=10). Results: Slavic immigrants reported more global holistic symptoms of diabetes, whereas non-immigrants reported more specific physiological somatic symptoms. The non-immigrant women used more complex diabetes self-management techniques compared to the Slavic group. A lack of education and awareness of hypoglycemia may contribute to less medication adherence in Slavic immigrants, and may prevent them from being motivated to participate in diabetes self-management. Discussion and Conclusions: Health care providers caring for Slavic immigrant women with diabetes need to be aware that these women fail to recognize the symptoms of hypoglycemia and seldom acknowledge depression, although depressive symptoms are often present. Culturally congruent health care will increase adherence and improve health outcomes for Slavic immigrant women.
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Details
Title
Perceptions of Diabetes Symptoms and Self-Management Strategies: A Cross Cultural Comparison
Creators
Rimma Barko
Contributors
Cindy Corbett (Advisor)
Awarding Institution
Washington State University
Academic Unit
Research Projects, College of Nursing
Theses and Dissertations
Master of Nursing (MN), Washington State University
Publisher
Washington State University; Spokane, Washington
Identifiers
99900590721701842
Copyright
http://creativecommons.org/licenses/by-nc-sa/3.0/us; Creative Commons Attribution-NonCommercial-ShareAlike 3.0 United States (CC BY-NC-SA 3.0 US)