Winston-Salem State University, School of Health Sciences, Winston-Salem, NC 27110, USA.
J Nurs Scholarsh. 2010 Sep 1;42(3):330-7. doi: 10.1111/j.1547-5069.2010.01336.x.
To compare the diabetes self-management activities of African American primary caregiving grandmothers before and after the initiation of caregiving and to compare the diabetes self-management activities of African American primary caregiving grandmothers to diabetic women who were not caring for their grandchildren.
Using a cross-sectional, descriptive design, 68 African American women 55 to 75 years of age were recruited as part of a larger study examining the impact of caregiving responsibilities on the diabetic health of African American primary caregiving grandmothers. Each participant was asked the frequency of their performance of six self-management activities. Caregiving grandmothers were asked about these activities before and after the initiation of caregiving.
Dependent and independent t-tests with Bonferroni correction were used to analyze the data. Statistically significant differences were noted in diet (t=4.400, p=.000) and self-monitoring of blood glucose (SMBG; t=3.484, p=.001) before and after the initiation of caregiving. For the caregiver versus non-caregiver comparison, statistically significant differences were noted in SMBG (t=-3.855, p=.000) and eye examinations (t=-3.211, p=.001).
The findings provide preliminary data to support further research examining the self-management activities of diabetic African American primary caregiving grandmothers. Diabetic African American primary caregiving grandmothers may have a decreased ability to integrate self-management activities into their daily patterns of living. Additional research is needed to determine what factors prevent this population from performing these tasks routinely.
African American primary caregiving grandmothers were found to have more difficulty performing some of their self-management activities, which may severely impact their overall diabetic health.
比较非裔美国主要照顾祖母在开始照顾前后的糖尿病自我管理活动，并将非裔美国主要照顾祖母的糖尿病自我管理活动与不照顾孙辈的糖尿病女性进行比较。
采用横断面描述性设计，招募了 68 名 55 至 75 岁的非裔美国女性，作为一项更大的研究的一部分，该研究检查了照顾责任对非裔美国主要照顾祖母的糖尿病健康的影响。每位参与者都被问到他们进行六项自我管理活动的频率。照顾祖母被问及在开始照顾前后这些活动的情况。
使用带有 Bonferroni 校正的独立和 t 检验分析数据。在开始照顾前后，饮食（t=4.400，p=.000）和自我监测血糖（SMBG；t=3.484，p=.001）方面存在统计学显著差异。对于照顾者与非照顾者的比较，在 SMBG（t=-3.855，p=.000）和眼部检查（t=-3.211，p=.001）方面也存在统计学显著差异。
这些发现提供了初步数据，支持进一步研究非裔美国主要照顾祖母的糖尿病自我管理活动。糖尿病非裔美国主要照顾祖母可能难以将自我管理活动融入他们的日常生活模式。需要进一步研究以确定哪些因素阻止了这一人群常规执行这些任务。
研究发现，非裔美国主要照顾祖母在执行某些自我管理活动方面遇到了更多困难，这可能严重影响他们的整体糖尿病健康。
