The Adult Geriatric Health Division, University of North Carolina at Chapel Hill School of Nursing, Chapel Hill, North Carolina (Dr McKenzie)
The Family Health Division, University of North Carolina at Chapel Hill School of Nursing, Chapel Hill, North Carolina (Dr Skelly)
Diabetes Educ. 2010 Sep-Oct;36(5):766-73. doi: 10.1177/0145721710374652. Epub 2010 Jun 23.
The purpose of this study was to explore the perceptions of coronary heart disease (CHD) risk in a group of southern African American women with type 2 diabetes (T2DM).
Semistructured interviews were conducted in participants' homes or setting of choice. The interviews were conducted with 6 participants from a larger study of 48 women who were stratified into levels of low, medium, and high perception of CHD risk, with 2 participants in each group. The interviews were analyzed using NVivo software; both investigators recoded and analyzed the data.
African American women with T2DM do not believe they are at risk for CHD unless they are told specifically by their primary health care provider that they have heart disease. The African American women in the study expressed that managing their diabetes to prevent heart disease can be overwhelming. Participants identified faith beliefs called not claiming the illness as a reason they did not perceive themselves at risk for CHD.
Not claiming an illness may influence health and preventive behaviors. Many African American women with T2DM may not claim their illness. Diabetes educators should acknowledge and address women's beliefs to create an appropriate plan of care.
本研究旨在探讨一组患有 2 型糖尿病（T2DM）的南非裔美国女性对冠心病（CHD）风险的认知。
在参与者的家中或选择的环境中进行半结构化访谈。访谈是在来自更大规模的 48 名女性研究中的 6 名参与者中进行的，这些参与者被分为低、中、高 CHD 风险感知水平组，每组 2 名参与者。使用 NVivo 软件对访谈进行分析；两名研究人员对数据进行重新编码和分析。
患有 T2DM 的非裔美国女性除非从初级保健提供者那里得知自己患有心脏病，否则她们不认为自己有患 CHD 的风险。研究中的非裔美国女性表示，管理糖尿病以预防心脏病可能会让人不知所措。参与者确定了一种称为不承认疾病的信仰信念，这是他们不认为自己有患 CHD 风险的原因。
不承认疾病可能会影响健康和预防行为。许多患有 T2DM 的非裔美国女性可能不承认自己的疾病。糖尿病教育者应该承认和解决女性的信念，以制定适当的护理计划。
