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The effect of a diabetes self-management program for African Americans in a faith-based setting.

机译：糖尿病自我管理计划对非裔美国人在基于信仰的环境中的影响。

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摘要

Diabetes is a lifelong chronic disease that requires daily management. Diabetes is the leading cause of blindness, kidney failure, and non-traumatic lower limb amputations. African Americans are more likely to suffer from diabetes related complications than any other race. The purpose of this study was to test a six-week culturally tailored diabetes self-management program for African Americans. The diabetes self-management intervention was conceptualized as the foundation that supported the changes in diabetes knowledge, self-efficacy, symptom management, and self-management activities. Thus, the specific aim of this study was to increase knowledge about diabetes, self-efficacy, symptom management, and self-management activities in African American adults diagnosed with diabetes.;A one-group pre- and post-test was the design used in this study. The six-week intervention focused on areas of diabetes self-management based on the American Diabetes Association (ADA) guidelines: (a) introduction to diabetes, (b) healthy eating, (c) being active, (d), medications, (e) glucose monitoring and complications, and (f) symptom management. An African American nurse led the intervention. Adult African Americans with diabetes who were age 18 years old and older were recruited from two predominantly black churches in the south-eastern part of the United States.;Sessions were held at each church directly after the morning and evening worship services. A total of 32 participants were recruited and 28 participants completed the six-week program. Health history and biomarkers (BMI, HBA1C) were measured at baseline. The major concepts were measured at baseline and post intervention using the Spoken Knowledge in Low Literacy Diabetes (SKILLD) scale, Diabetes Empower Scale- Short Form (DES-SF), Diabetes Symptom Checklist- Revised (DSC-r) scale, and the Summary of Diabetes Self-Care Activities (SDSCA) scale. At baseline, many person had low diabetes knowledge, self-efficacy, symptom management, and diabetes self-management activities.;Findings revealed statistically significant positive improvements in diabetes knowledge, self-efficacy, symptoms management, and diabetes self-management activities from pre-intervention to post- intervention. Study participants gained an awareness of the need or diabetes self-management education. Designing and implementing culturally tailored diabetes self-management programs in faith-based settings are practical and necessary to reduce the disparity in diabetes for African Americans.;More diabetes self-management studies are needed that target, recruit, and retain an adequate representation of African Americans. Also, more research is needed regarding African American cultures and learning styles so that programs can modify learning objectives to meet their needs.
机译：糖尿病是一生的慢性疾病，需要日常管理。糖尿病是失明，肾脏衰竭和非创伤性下肢截肢的主要原因。非裔美国人比其他种族更容易患上与糖尿病相关的并发症。这项研究的目的是测试针对非裔美国人的为期六周的，针对文化特点而量身定制的糖尿病自我管理计划。糖尿病自我管理干预被概念化为支持改变糖尿病知识，自我效能，症状管理和自我管理活动的基础。因此，本研究的具体目的是增加被诊断患有糖尿病的非洲裔美国人对糖尿病，自我效能感，症状管理和自我管理活动的了解。;采用一组前，后测试的设计在这个研究中。根据美国糖尿病协会（ADA）的指南，为期六周的干预集中在糖尿病自我管理领域：（a）糖尿病介绍，（b）健康饮食，（c）活跃，（d），药物治疗，（ e）血糖监测和并发症，以及（f）症状管理。一名非裔美国人护士领导了干预。从美国东南部的两个以黑人为主的教堂中招募了18岁及18岁以上的成年非洲裔糖尿病患者；在早，晚礼拜之后，在每个教堂举行会议。总共招募了32位参与者，其中28位参与者完成了为期六周的计划。在基线时测量健康史和生物标志物（BMI，HBA1C）。主要概念是在基线和干预后使用低识字口语知识（SKILLD）量表，糖尿病赋能量表-简表（DES-SF），糖尿病症状清单-修订量表（DSC-r）量表和摘要进行测量的糖尿病自我护理活动（SDSCA）量表。在基线时，许多人对糖尿病的了解，自我效能，症状管理和糖尿病自我管理活动较低。研究发现，与以前相比，糖尿病知识，自我效能，症状管理和糖尿病自我管理活动的统计学显着正改善-干预后干预。研究参与者对需求或糖尿病自我管理教育有了认识。在基于信仰的环境中设计和实施针对文化的量身定制的糖尿病自我管理计划是切实可行的，而且对于减少非裔美国人的糖尿病差异是必要的。;需要开展更多针对，招募并保留非洲人充分代表权的糖尿病自我管理研究美国人此外，还需要对非裔美国人的文化和学习方式进行更多的研究，以便程序可以修改学习目标以满足他们的需求。

著录项

  • 作者

    Goode, Pandora.;

  • 作者单位

    The University of North Carolina at Greensboro.;

  • 授予单位 The University of North Carolina at Greensboro.;
  • 学科 Nursing.;African American studies.;Spirituality.
  • 学位 Ph.D.
  • 年度 2016
  • 页码 132 p.
  • 总页数 132
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

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