Peripheral Intravenous Infiltration and Extravasation Prevention

Written by Paige Yang, Sydney Yang, Elizabeth Aquino, Kashica J. Webber-Ritchey, & Young-Me Lee

doi: https://doi.org/10.13178/jnparr. 2023.13.01.1303

Abstract

Introduction: Diabetes is widely prevalent in the United States and is rising steadily. Diabetes self-management regimens are deemed effective. However, there are limited qualitative studies to explore the experience of diabetes mellitus type 2 (T2DM) self-management for adult Chinese American immigrants (CAIs). A better understanding of the needs of CAI patients with diabetes is necessary to reduce barriers to self-management and support their self-management needs.

Objective: To describe the perceived barriers and strategies used to effectively self-manage diabetes mellitus type 2 (T2DM) among adult CAIs.

Methods: A qualitative exploratory design was used. From October 2019 to March 2020, five adult CAIs with T2DM were interviewed using a semi-structured interview guide.

Results: Content analysis revealed four major themes on barriers to effective self-management of T2DM: 1) lack of exercise including two subthemes of family obligation and work conflict, 2) knowledge deficit, 3) language barrier, and 4) lack of self-motivation, and four major themes on strategies for effective self-management of T2DM: 1) improving diabetes knowledge including three subthemes of exercise, diet modification, and disease process, 2) self-acceptance of diagnosis, 3) social support, and 4) cultural and linguistic provider for culturally competent care.

Conclusion: Findings shed light on how to promote the facilitators of effective self-management strategies currently employed among CAIs. Healthcare providers must identify ways to mitigate barriers to effective diabetes self-management education.

Keywords: Chinese immigrant, diabetes mellitus, barriers, strategies, self-management