Understanding Medication Adherence in Bhutanese Refugees With Diabetes in a Midwestern City-Reference-Cited by-同舟云学术

Understanding Medication Adherence in Bhutanese Refugees With Diabetes in a Midwestern City

Published:2022-03-20 Issue:3 Volume:33 Page:324-333
ISSN:1043-6596
Container-title:Journal of Transcultural Nursing
language:en
Short-container-title:J Transcult Nurs

Author:

Timsina Muna K.¹²^ORCID,Peltzer Jill N.²,Pokharel Yashashwi³,Peterson JoAnn M.²,Schwartz Lori J.²,LeMaster Joseph W.²

Affiliation:

1. Atrium Health Wake Forest Baptist, High Point, NC, USA

2. The University of Kansas Medical Center, Kansas City, USA

3. Atrium Health Wake Forest Baptist, Winston-Salem, NC, USA

Abstract

Introduction: Bhutanese refugees have a higher prevalence of type 2 diabetes but are less likely to achieve medication adherence and glycemic control. The purpose of this project was to understand factors affecting diabetes medication adherence in this population. Methodology: This was a qualitative project using focus groups of adult Bhutanese refugees with type 2 diabetes ≥18 years old and hemoglobin A1C ≥8% and their caregivers from a family medicine clinic at the University of Kansas. Data were analyzed using content analysis. Results: A total of 23 individuals participated. Three themes emerged from data analysis: desire to engage in care but face multiple barriers, family and community support invaluable for health, and considerations for culturally contextual person-centered care. Participants provided specific recommendations to address the barriers, with emphasis on improving health literacy. Discussion: Integrating the identified factors can foster person-centered, culturally congruent care to improve diabetes medication adherence in Bhutanese refugees.

Publisher

SAGE Publications

Subject

General Nursing

Link

http://journals.sagepub.com/doi/pdf/10.1177/10436596221077671

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