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Meeting the Nutritional Needs of Very Low Income Diabetic Patients

机译：满足极低收入糖尿病患者的营养需求

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摘要

Adult Type II diabetes is an increasing public health problem, particularly among very low-income minority populations. The purpose of this study was to create a nutritional guide for a diabetic specific meal plan with an accompanying food pantry nutrition packet for very low-income Type II diabetic patients at a rural Mississippi Free Clinic. The practice-focused question is: Will a nurse-prepared nutritional guide with supplemental food packets improve the glucose control in low income diabetic patients? The gap in practice is that there has been no structured nutrition education guide and no food pantry support plan for Type II adult diabetics. The theoretical framework is Cockerham's health lifestyle theory. A project goal was to prepare food packets specific to the Type II diabetic patients proved not viable due to limited donations of food resources, no regular source of fresh foods, and limited refrigeration space at the food pantry. However, education resources were developed for meal planning using the glycemic index, integration of cultural food preferences, and simple food log for the patient to chart daily meals. Recommendations include program evaluation of the use of these educational materials on patient A1c levels and weight in this population. The food pantry can offer diabetic specific meal packets with community social investment. Social change is addressing self-management of nutritional needs of very low income diabetic patients. Implication for nursing practice includes promotion of dialogue amongst different disciplines interested in the nutritional aspect of improving A1c and glucose levels.
机译：成人II型糖尿病是一个日益严重的公共健康问题，尤其是在极低收入的少数族裔人群中。这项研究的目的是为密西西比州乡村免费诊所非常低收入的II型糖尿病患者提供针对糖尿病特定进餐计划的营养指南以及随附的食品储藏室食品包。以实践为中心的问题是：由护士准备的营养指南以及补充食品包是否可以改善低收入糖尿病患者的血糖控制？在实践中的差距是，没有针对II型成人糖尿病的结构化营养教育指南和食品储藏室支持计划。理论框架是科克汉姆的健康生活方式理论。一个项目目标是准备特定于II型糖尿病患者的食品包，因为捐赠的食品资源有限，没有常规的新鲜食品来源以及食品储藏室的冷藏空间有限，证明这些食品包装不可行。但是，已经开发了用于饮食计划的教育资源，其中使用了血糖指数，整合了文化饮食偏好以及简单的食物记录，以供患者绘制每日饮食图表。建议包括对该人群中患者A1c水平和体重使用这些教材的方案进行评估。食品储藏室可以通过社区社会投资提供特定于糖尿病的餐包。社会变革正在解决低收入糖尿病患者的营养需求自我管理问题。对护理实践的意义包括促进对改善A1c和葡萄糖水平的营养方面感兴趣的不同学科之间的对话。

著录项

  • 作者

    Hossley, Mary.;

  • 作者单位

    Walden University.;

  • 授予单位 Walden University.;
  • 学科 Nursing.;Nutrition.
  • 学位 D.N.P.
  • 年度 2018
  • 页码 67 p.
  • 总页数 67
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类 建筑科学;
  • 关键词

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