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Type 2 diabetes mellitus and hyperte...

Pistulka, Gina M.

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Type 2 diabetes mellitus and hypertension in middle-aged, first-generation Korean American immigrants: An exploration of everyday life.

紀錄類型:	書目-電子資源 : Monograph/item
正題名/作者:	Type 2 diabetes mellitus and hypertension in middle-aged, first-generation Korean American immigrants: An exploration of everyday life./
作者:	Pistulka, Gina M.
面頁冊數:	227 p.
附註:	Source: Dissertation Abstracts International, Volume: 67-11, Section: B, page: 6312.
Contained By:	Dissertation Abstracts International67-11B.
標題:	Health Sciences, Nursing. -
電子資源:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3240786
ISBN:	9780542956379

Type 2 diabetes mellitus and hypertension in middle-aged, first-generation Korean American immigrants: An exploration of everyday life.
Pistulka, Gina M.

Type 2 diabetes mellitus and hypertension in middle-aged, first-generation Korean American immigrants: An exploration of everyday life. - 227 p.

Source: Dissertation Abstracts International, Volume: 67-11, Section: B, page: 6312.

Thesis (Ph.D.)--The Johns Hopkins University, 2007.

Background. Type 2 Diabetes Mellitus (DM) is a life threatening, costly and increasingly widespread global disease. Hypertension (HTN), a common comorbidity, causes a greater risk for micro- and macrovascular disease. Adequate control of HTN has been found to reduce complications of cardiovascular disease, and eye, kidney and neurological complications by 33% to 50%. Korean American first-generation immigrants (KAI) are ranked in the top five of immigrant groups arriving in the U.S. and now comprise 11% of the total of Asian American population in the United States. Studies show that DM and HTN increase with immigration, following trends of the host country.

ISBN: 9780542956379Subjects--Topical Terms:

1017798
Health Sciences, Nursing.

Type 2 diabetes mellitus and hypertension in middle-aged, first-generation Korean American immigrants: An exploration of everyday life.
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245 1 0 $a Type 2 diabetes mellitus and hypertension in middle-aged, first-generation Korean American immigrants: An exploration of everyday life.
300 $a 227 p.
500 $a Source: Dissertation Abstracts International, Volume: 67-11, Section: B, page: 6312.
500 $a Adviser: Miyong Kim.
502 $a Thesis (Ph.D.)--The Johns Hopkins University, 2007.
520 $a Background. Type 2 Diabetes Mellitus (DM) is a life threatening, costly and increasingly widespread global disease. Hypertension (HTN), a common comorbidity, causes a greater risk for micro- and macrovascular disease. Adequate control of HTN has been found to reduce complications of cardiovascular disease, and eye, kidney and neurological complications by 33% to 50%. Korean American first-generation immigrants (KAI) are ranked in the top five of immigrant groups arriving in the U.S. and now comprise 11% of the total of Asian American population in the United States. Studies show that DM and HTN increase with immigration, following trends of the host country.
520 $a Purpose. Further understanding of DM and HTN care practices is critical in order to assist KAI in achieving optimal health outcomes and quality of life.
520 $a Methods. A cross-cultural qualitative descriptive design was chosen to explore the self-care management model and patterns of DM and HTN in KAI. Nineteen in-depth interviews were conducted with KAI with DM and HTN who were between the ages of 45 and 60 and living in the Baltimore-Washington metropolitan area.
520 $a Findings. The findings highlight the experiences of 12 men and women with DM and HTN. Prominent themes indicated high levels of personal and family responsibility, as well as community influences, drawing on both the individualistic and collectivistic ethic. Traditional family roles and the need to maintain a semblance of harmony and Korean identity affected the presentation of KAI with illness within and outside of the family. The lack of disclosure and the role of religion were prominent issues that influenced care patterns of KAI. Clinical and research recommendations target personal, family and community level responses in order to alleviate difficulty and improve the health of KAI.
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