PURPOSE The purpose of this study was to better understand the factors that influence the ability of batey adults to self-manage their type 2 diabetes mellitus (T2DM). METHODS A qualitative descriptive approach was used to conduct in-depth, individual interviews in Spanish. Participants (n = 12) were health care workers and members of a nongovernmental organization (NGO) that provides direct diabetes care to batey residents via free, pop-up, mobile medical clinics. Conventional content analysis was used to identify categories and common themes in the data. RESULTS Participants described daily existence in the bateyes as a constant "scarcity of resources." Additionally, four themes and one subtheme emerged that participants felt impacted diabetes health outcomes and the ability of NGO health care workers to provide diabetes care. CONCLUSIONS NGO members, while committed to serve and improve health outcomes for the batey population, often felt overwhelmed. Findings from this qualitative descriptive study may be used to inform novel interventions, which are needed, to enhance the diabetes outcomes of the batey residents who are living with T2DM. In addition, strategies are needed to build diabetes care infrastructure in the batey community.

中文翻译：

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改善居住在多米尼加巴特耶斯的海地移民的糖尿病健康状况。

目的 本研究的目的是更好地了解影响成人自我管理 2 型糖尿病 (T2DM) 能力的因素。方法 采用定性描述方法用西班牙语进行深入的个人访谈。参与者 (n = 12) 是医护人员和非政府组织 (NGO) 的成员，该组织通过免费的临时流动医疗诊所向贝蒂居民提供直接的糖尿病护理。传统的内容分析用于识别数据中的类别和共同主题。结果参与者将蝙蝠眼中的日常存在描述为持续的“资源稀缺”。此外，还出现了四个主题和一个副主题，参与者认为这影响了糖尿病的健康结果以及非政府组织卫生保健工作者提供糖尿病护理的能力。结论 非政府组织成员虽然致力于服务和改善贝蒂人群的健康状况，但常常感到不知所措。这项定性描述性研究的结果可用于为需要的新干预措施提供信息，以提高患有 T2DM 的贝蒂居民的糖尿病结局。此外，需要制定策略在巴特社区建立糖尿病护理基础设施。