Dissertation/Thesis Abstract

Improving Diabetes Management in Elderly Haitians
by Avin, Nadege, D.N.P., Grand Canyon University, 2018, 165; 10842164
Abstract (Summary)

Abstract For decades, type 2 diabetes mellitus (T2DM) has been prevalent in various vulnerable communities in America. American Haitians are disproportionately affected by T2DM. Diabetes is the primary cause of death among elderly Haitians, most of whom have no knowledge of diabetes management. The purpose of the project is to determine if an educational intervention would increase compliance with diet and exercise, decrease blood glucose, and promote successful management of T2DM among elderly diabetic patients living in District 16. A trans-theoretical model (TTM) that emphasizes intentional behavior change guided the project. A convenience sample of five females and five males ( n = 10) between 65 to 82 years of age who had been diagnosed with uncontrolled T2DM participated in the project. Interviews were conducted via focus groups and were audiotaped and analyzed using the Krueger and Casey method to extract themes. The emergent themes of the project were the standard of care for diabetes, diabetes care support, access to services and resources, diabetes knowledge and self-management, the educational intervention of diabetes, and cultural beliefs. There were marked differences in pre-mean finger sticks values of the participants when compared to post-intervention finger stick values; mean finger stick values began at 244.55 and decreased to 129.85. The efficacy of the exercises and diet were based on the difference in Finger stick values. A paired t-test showed a significant decrease in finger stick values, indicating finger stick improvement, and a reduction in baseline finger stick values after diabetes education intervention (t = 14.76; p < 0.05). Thus, diet and exercises decreased finger stick levels in Haitian patients with uncontrolled T2DM. There is limited transferability of the project due to small sample size.

Indexing (document details)
Advisor: Heiskell, Helen
Commitee: Valentin, Dominique
School: Grand Canyon University
Department: College of Doctoral Studies
School Location: United States -- Arizona
Source: DAI-B 80/05(E), Dissertation Abstracts International
Subjects: Nursing
Keywords: Blood glucose, Elderly, Haitians, T2DM, Uncontrolled
Publication Number: 10842164
ISBN: 9780438777248
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