Wang Chen-Yen, Chan Siu Ming Alain
School of Nursing and Dental Hygiene, University of Hawaii at Manoa, Honolulu, USA.
Nurs Res. 2005 Sep-Oct;54(5):347-53. doi: 10.1097/00006199-200509000-00009.
The prevalence of type 2 diabetes among Chinese Americans is rising, and cultural and socioeconomic factors prevent this population from achieving optimal diabetes management.
To assess the feasibility and acceptability of a culturally appropriate diabetes management program tailored to Chinese Americans with type 2 diabetes and the preliminary outcomes of the intervention.
Forty eligible subjects were recruited from the community to participate in this 10-session program developed by integrating Chinese cultural values into an established Western diabetes management program. Feasibility and acceptability of the program were evaluated by the percentage of participants meeting the course objectives and satisfaction with the program. Outcomes measures included the Diabetes Quality-of-Life (DQOL) survey, body weight, blood pressure, and HbA1c levels measured before, after, and 3 months after the intervention.
Thirty-three participants completed all 10 sessions and the outcome measurements. Attrition rate was 17.5%. The majority of the participants understood the course content (75%) and identified and demonstrated various diabetes management skills (70% and 82.5%, respectively). All participants who completed the program were "very satisfied" with the program. With regard to the outcome variables, 43.6% of the participants lost more than 5 pounds and most had a reduction in blood pressure at 3 months after completion of the program. Mean HbA1c decreased from 7.11 to 6.12 postintervention. Significant improvements on the DQOL also were reported.
Culturally tailored diabetes management may be effective in Chinese Americans with type 2 diabetes. Further study, with a larger sample size and a control group, is recommended.
华裔美国人中2型糖尿病的患病率正在上升，文化和社会经济因素阻碍了这一人群实现最佳的糖尿病管理。
评估针对华裔2型糖尿病患者量身定制的具有文化适宜性的糖尿病管理项目的可行性和可接受性，以及该干预措施的初步效果。
从社区招募了40名符合条件的受试者，参与这个通过将中国文化价值观融入既定的西方糖尿病管理项目而开发的为期10节课程的项目。通过达到课程目标的参与者百分比和对项目的满意度来评估项目的可行性和可接受性。结果指标包括糖尿病生活质量（DQOL）调查、体重、血压以及干预前、干预后和干预后3个月测量的糖化血红蛋白（HbA1c）水平。
33名参与者完成了全部10节课程和结果测量。流失率为17.5%。大多数参与者理解课程内容（75%），并识别和展示了各种糖尿病管理技能（分别为70%和82.5%）。所有完成该项目的参与者对该项目“非常满意”。关于结果变量，43.6%的参与者体重减轻超过5磅，并且在完成项目3个月后大多数人的血压有所下降。干预后糖化血红蛋白平均从7.11降至6.12。糖尿病生活质量也有显著改善。
针对文化定制的糖尿病管理可能对华裔2型糖尿病患者有效。建议进行更大样本量且有对照组的进一步研究。
