부산대학교 도서관

Background: To explore the perspectives of overweight and obese patients with diabetes from culturally and linguistically diverse, and disadvantaged backgrounds, as well as practice nurses (PNs) during implementation of a brief PN-supported self-regulation nutrition strategy for weight management in general practice settings serving disadvantaged populations. Methods: During intervention implementation, semi-structured interviews were conducted with 12 patients and four nurses in two general practices located in metropolitan suburbs in Sydney, Australia. Results: Patients and PNs found challenges related to cultural expectations and the requirement of patients to set and adhere to dietary change goals and behaviours. Although patients expressed high levels of satisfaction with PNs, the suitability of the intervention to this group was questioned by PNs. Obstacles were also encountered in delivering the intervention in a busy general practice setting. Conclusions: This pilot study provided initial evidence of the acceptability of a self-regulation nutrition intervention for weight management for overweight and obese patients with type 2 diabetes that was delivered by PNs. Cultural expectations of provider–patient roles, the type of intervention and flexibility in the workplace are important future considerations. Practise Nurses (PNs) have increasingly been delegated by general practitioners to provide weight management counselling for overweight and obese patients with diabetes from disadvantaged groups but there is insufficient evidence of feasibility and success. Challenges faced by patients with diabetes attending general practice are complex and interventions must consider cultural and contextual differences, including ensuring PNs who are well regarded for this task are allocated time to focus on such intervention in general practice settings. PNs must be adequately trained to address patients' cultural expectations and their own expectations when working with culturally and linguistically diverse patients. [ABSTRACT FROM AUTHOR]