非裔美国老年人和白人老年人慢性病、功能状态及接受度的文化比较

Cultural comparison of chronic conditions, functional status, and acceptance in older African-American and White adults.

作者信息

McDonald Patricia E, Zauszniewski Jaclene A, Bekhet Abir K

机构信息

Frances Payne Bolton School of Nursing, Case Western Reserve University, 10900 Euclid Avenue, Cleveland, OH 44106-4904, USA.

出版信息

J Natl Black Nurses Assoc. 2010 Jul;21(1):1-6.

PMID:20857770

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2947331/

Abstract

Acceptance of functional decline accompanying chronic illness is challenging for all elders, and even more so for African-American elders. This study examined functional status and the number, types, and acceptance of chronic conditions in 16 African-American and 46 White elders. African-American elders reported better functioning but resembled Whites in number of chronic conditions and acceptance. All African-Americans reported hypertension; 76% of Whites reported arthritis. Greater acceptance was correlated with fewer chronic conditions (r = -.23, p < .05) and better functioning (r = -.59, p < .01). Poorer functioning (i.e., functional disability) was correlated with more chronic conditions (r = .27, p < .05). Culturally sensitive interventions are needed to enhance elders' acceptance of chronic conditions and to improve their functioning.

摘要

接受伴随慢性病而来的功能衰退，对所有老年人来说都是一项挑战，对非裔美国老年人而言更是如此。本研究调查了16名非裔美国老年人和46名白人老年人的功能状况、慢性病的数量、类型及接受情况。非裔美国老年人报告的功能状况较好，但在慢性病数量和接受情况方面与白人相似。所有非裔美国人都患有高血压；76%的白人患有关节炎。更高的接受度与更少的慢性病数量（r = -0.23，p < 0.05）和更好的功能状况（r = -0.59，p < 0.01）相关。较差的功能状况（即功能残疾）与更多的慢性病数量相关（r = 0.27，p < 0.05）。需要采取具有文化敏感性的干预措施，以提高老年人对慢性病的接受度并改善其功能状况。