European Diabetes Nursing
Volume 7, Issue 1, 2010, Pages 24-28

Anthropologic study of immigrant patients with T2D M from Morocco to Spain: Practical implications for therapeutic patient education (Article)

Jansà M.* , Diaz M. , Franch J. , Vidal M. , Gomis R.
  • a Diabetes Unit, Hospital Clinic, Institut Clínic de Malalties Digestives i Metabòliques (ICMDM), Institut d'Investigacions Biomediqués August Pi i Sunyer (IDIBAPS), Barcelona, Spain
  • b Diabetes Unit, Hospital Clinic, Institut Clínic de Malalties Digestives i Metabòliques (ICMDM), Institut d'Investigacions Biomediqués August Pi i Sunyer (IDIBAPS), Barcelona, Spain
  • c Centre d Assistència Primària Raval Sud, Barcelona, Spain
  • d Diabetes Unit, Hospital Clinic, Institut Clínic de Malalties Digestives i Metabòliques (ICMDM), Institut d'Investigacions Biomediqués August Pi i Sunyer (IDIBAPS), Barcelona, Spain
  • e Diabetes Unit, Hospital Clinic, Institut Clínic de Malalties Digestives i Metabòliques (ICMDM), Institut d'Investigacions Biomediqués August Pi i Sunyer (IDIBAPS), Barcelona, Spain

Abstract

Background: Immigration in Spain has grown exponentially, with Moroccans being the most numerous group. Aims: To determine the profile of Moroccans with type 2 diabetes mellitus (T2DM), to provide diabetes education strategies. Design/setting: Cross-sectional study in 10 rural and urban centres, Catalonia, Spain. Patients and methods: T2DM patients were interviewed using a structured, evaluated interview questionnaire, translated into Arabic. Data obtained underwent descriptive statistical analysis. Results: Forty patients, aged 50±15 years (73% females) were interviewed: 53% were illiterate; 90% lived with family; 67% lived in Catalonia >5 years; 11% used insulin; 12% used oral agents; 66% reported difficulties with diet and 44% with drugs; 54% ate Moroccan and Spanish cuisine. Self-reported causes of T2DM were: stress (38%); unknown (31%); fear (17%); inherited (14%); God (7%). Thirty-three per cent believed diabetes could be cured; 32% did not use prescribed medication; 43% did not attend appointments; 24% used alternative medicines. Language barriers were present in 60% of respondents and 80% preferred watching TV to reading. Sixty-three per cent followed Ramadan fasting. Quality-of-life ratings from 0 to 10 were >5 in 53% of respondents. Using this information, we designed and developed an educational, bilingual (Arabic/Spanish) DVD that included specific diabetes topics, Moroccan and Spanish cuisine, and recommendations for Ramadan. We also updated the carbohydrate food cup to include staple Moroccan foods. Conclusion: Linguistic and sociocultural barriers (eg low participation rates, illiteracy and poor treatment adherence) were observed. To minimise barriers, tailored educational materials were developed. Copyright © 2010 FEND. Published by John Wiley & Sons.

Author Keywords

Therapeutic patient education Diabetic immigrant people

Index Keywords

[No Keywords available]
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-77952597464&doi=10.1002%2fedn.151&partnerID=40&md5=aa9371971679cee2119b7213b53c32ac
DOI: 10.1002/edn.151
ISSN: 15517853
Cited by: 4
Original Language: English