Frank D I, Stephens B, Lee S H
Florida State University School of Nursing, Tallahassee, Florida 32306-7660, USA.
Clin Excell Nurse Pract. 1998 May;2(3):159-65.
A primary role of nurse practitioners is to promote health. This study describes the practice of health-promoting behaviors of 75 African-American women in rural northwest Florida. The convenience sample completed the 94 Health-Promoting Lifestyle Profile (HPLP), which measures six aspects of health behavior, including exercise, nutrition, and stress management. Demographic factors were also examined in relation to participation in health-promoting behaviors. Findings showed women scoring the highest in interpersonal support and the lowest in exercise and nutrition on the HPLP subscales. Also, women with higher education and an income above $10,000 a year practiced more health-promoting behaviors. Those with less education, a lower income, and more family members practiced fewer health-promoting behaviors. Older women tended to exercise less and reported less interpersonal support. Nurse practitioners can encourage health promotion among African-American women. They can utilize strategies that maximize women's perceived benefits and self-efficacy while minimizing perceived barriers to health-promoting behaviors. Churches, worksites, and schools are suggested as accessible settings for providing programs and services to this population.
执业护士的主要职责是促进健康。本研究描述了佛罗里达州西北部农村地区75名非裔美国女性的健康促进行为实践。该便利样本完成了94项健康促进生活方式量表（HPLP），该量表测量健康行为的六个方面，包括运动、营养和压力管理。还研究了人口统计学因素与参与健康促进行为之间的关系。研究结果显示，女性在人际支持方面得分最高，而在HPLP子量表的运动和营养方面得分最低。此外，受过高等教育且年收入超过1万美元的女性践行更多的健康促进行为。教育程度较低、收入较低且家庭成员较多的女性践行的健康促进行为较少。老年女性往往运动较少，且人际支持也较少。执业护士可以鼓励非裔美国女性进行健康促进。他们可以采用一些策略，在最大限度地提高女性感知到的益处和自我效能的同时，尽量减少对健康促进行为的感知障碍。建议将教堂、工作场所和学校作为为该人群提供项目和服务的便利场所。
