Asunto(s)
Envejecimiento , Enfermeras Administradoras/organización & administración , Personal de Enfermería/organización & administración , Administración de Personal/métodos , Humanos , Persona de Mediana Edad , Investigación en Administración de Enfermería , Personal de Enfermería/psicología , Reorganización del Personal , Jubilación , Estados UnidosRESUMEN
Inadequate knowledge of the influence of lifestyle on clinical outcomes contributes to the difficulties many African Americans experience with type 2 diabetes mellitus (T2DM). This pilot study examined a 12-week church-based culturally targeted diabetes self-management education (DSME) intervention for middle-aged and older African Americans with T2DM. Quantitative data were collected at baseline and at 12 weeks and included questionnaires and anthropometric measures. There were significant increases in medication adherence (p = .006), healthy eating (p = .009), and foot care adherence (p = .003). The intervention had a clinically significant effect on systolic blood pressure, blood lipids, physical activity, and waist circumference. Church-based culturally targeted DSME interventions may result in improved outcomes for African-American adults with T2DM. The authors discuss the value of community-based interventions that target behavioural changes in populations of chronically ill patients, particularly those who historically have been disenfranchised and/or underserved.
Asunto(s)
Negro o Afroamericano/psicología , Diabetes Mellitus Tipo 2/enfermería , Diabetes Mellitus Tipo 2/psicología , Autocuidado/métodos , Enfermería Transcultural/métodos , Adulto , Negro o Afroamericano/etnología , Anciano , Cultura , Diabetes Mellitus Tipo 2/etnología , Femenino , Humanos , Masculino , Persona de Mediana Edad , Proyectos Piloto , Evaluación de Programas y Proyectos de SaludRESUMEN
This descriptive-correlational study examined the associations among physical activity, depressive symptoms, and perceived social support in 45 middle-aged and older African-American women with type 2 diabetes receiving care in 1 of 3 community-based primary care centres in the southeastern United States. Of the participants, 82% reported weekly physical activity and 88% reported a high degree of social support.The prevalence of depressive symptoms was also high in the sample (n = 15; 30%), and depressive symptoms were associated with younger age and less social support. Further investigation of physical activity characteristics, depressive symptoms, and social support in African-American women with type 2 diabetes is warranted.
Asunto(s)
Población Negra , Depresión/fisiopatología , Diabetes Mellitus Tipo 2/fisiopatología , Ejercicio Físico , Apoyo Social , Depresión/epidemiología , Depresión/etnología , Diabetes Mellitus Tipo 2/etnología , Diabetes Mellitus Tipo 2/psicología , Femenino , Humanos , Prevalencia , Encuestas y Cuestionarios , Estados Unidos/epidemiologíaRESUMEN
This descriptive study examined depressive symptoms, cardiovascular risk, and diabetes self-care strategies in African American women (N = 45) with type 2 diabetes (T2D). All completed a questionnaire packet during structured interviews. Significant associations were found between two individual depressive symptoms and mean cardiovascular disease (CVD) risk scores, which suggest that in African American women with T2D, depressive symptoms may be correlated with a specific CVD profile and/or are unrecognized and/or unexpressed. Further analysis is warranted to determine the extent of this relationship in African American women with T2D.
