["A Little Bit of Switzerland, a Little Bit of Kosovo". Swiss Immigrants from Former Yugoslavia with Type 2 Diabetes. A Qualitative Study' in Analogy to Grounded Theory].
Type 2 diabetes is on the increase among the Swiss immigrants. The cultural background of patients presents new linguistic and sociocultural barriers and gains in importance for health care. In order to develop patient-centred care, it is necessary to focus on different sociocultural aspects in everyday life and experiences of immigrants from the former republics of Yugoslavia with diabetes who have rarely been studied in Switzerland. Based on these insights the needs for counselling can be identified and nursing interventions can be designed accordingly. Using the Grounded Theory approach, 5 interviews were analysed according to the Corbin and Strauss coding paradigm. The central phenomenon found is the experience to live in 2 different cultures. The complexity arises from the tension living in 2 cultural backgrounds at the same time. It turns out that in the country of origin the immigrants adjust their disease management. The changing daily rhythm and the more traditional role model affect aspects of their disease management such as diet and/or drug therapy. The different strategies impact the person's roles, emotions, their everyday lives and their families. It provides an insight into the perspective of Swiss immigrants from the former republics of Yugoslavia suffering from diabetes. Many questions are still unanswered and further research will be required.
Pflegeetwicklung, Kantosspital St. Gallen, St. Gallen, Schweiz.
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Wenger
Fachbereich Gesundheit, Berner Fachhochschule, Bern, Schweiz.
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Mischke
D001294:Attitude to Health / Q000208:ethnology*; D003431:Cross-Cultural Comparison; D003467:Cultural Deprivation; D003924:Diabetes Mellitus, Type 2 / Q000208:ethnology* / Q000523:psychology*; D019468:Disease Management; D054242:Emigrants and Immigrants / Q000523:psychology; D064868:Ethnic Violence; D006297:Health Services Accessibility; D006801:Humans; D007407:Interviews as Topic; D063826:Kosovo; D012036:Refugees / Q000523:psychology*; D012648:Self Care / Q000523:psychology; D013557:Switzerland; D015022:Yugoslavia / Q000208:ethnology