地域医療と健康教育

抽象的な

The Experience of Mexican-Americans Transitioning to Insulin Pump Technology

Emily F Piven and Homer Nazeran

Occupational therapists help people of all ages do the things they need or want to do through therapeutic activities that constitute everyday occupations. They are interested in how people adapt to disease or illness in performance of all activities of daily living in self-care, work, education, leisure, play, and social participation. This study was undertaken as there was a paucity of literature about how people make adjustments to living with technology (biomedical device), which provides provides continuous subcutaneous insulin-infusion therapy (also called the insulin pump), and as there was no research about how difficult the process may be for Latinos. The aim of this pilot study was to explore the life experience of Mexican-Americans with type 1 diabetes mellitus, who transitioned from multiple daily insulin injections to using continuous subcutaneous insulin-infusion therapy (also called the insulin pump) to manage their conditions. This exploratory, qualitative research study had a convenience sample of three females and three males from 28 to 55 years old. Themes were: 1) Easy for one yet hard for another; 2) Feels like starting over; 3) High expectations: The magical pump; and 4) Self-perception redefined. Conclusion: Insights about the cultural attitudes, beliefs and experience of Mexican- Americans transitioning to the insulin pump may assist health professionals to prioritize their initial concerns when helping patients deal with this technology. Referrals to occupational therapists should be considered to help Mexican-Americans deal with psychosocial issues that arise, for facilitation of problem-solving and coping skills in order to manage self-care issues is recommended.