年轻的农村非裔美国2型糖尿病女性的糖尿病与心理状况
Diabetes and psychological profile of younger rural African American women with type 2 diabetes.
作者信息
Miller Stephania T
机构信息
Meharry Medical College, 1005 DB Todd Blvd., Nashville, TN 37208, USA.
出版信息
J Health Care Poor Underserved. 2011 Nov;22(4):1239-52. doi: 10.1353/hpu.2011.0110.
PURPOSE
To describe diabetes self-care behaviors, diabetes-related distress, depressive symptoms, and diabetes-related needs among rural African American women with type 2 diabetes ages 21-50.
METHODS
A cross-sectional survey, including questionnaires and a single, open-ended question, was used to assess constructs of interest.
FINDINGS
Taking medication was the most frequently reported (5.5 days/week) self-care activity and exercise the least (3.0 days/week). Nearly half (44%) reported worrying about diabetes complications. Approximately one-third (31%) felt guilty about inconsistent self-care or fearful about living with diabetes. Seventy percent had a depression score suggestive of significant depressive symptomatology. Most diabetes-related concerns were about diet (34%) (i.e., what to eat), exercise (30%), taking medications (10%), and finances (8%).
CONCLUSIONS
Future research should explore specific diabetes self-care barriers/enablers and interventions should provide women with diabetes education, barrier management, and psychological support. Innovative delivery strategies are needed to provide this support in resource-limited rural communities.
目的
描述年龄在21 - 50岁的农村非裔美国2型糖尿病女性的糖尿病自我护理行为、糖尿病相关困扰、抑郁症状以及糖尿病相关需求。
方法
采用横断面调查，包括问卷和一个开放式问题，以评估相关构念。
结果
服药是最常报告的自我护理活动（每周5.5天），而锻炼最少（每周3.0天）。近一半（44%）的人报告担心糖尿病并发症。约三分之一（31%）的人对自我护理不一致感到内疚或对患糖尿病感到恐惧。70%的人抑郁评分表明有明显的抑郁症状。大多数与糖尿病相关的担忧是关于饮食（34%）（即吃什么）、锻炼（30%）、服药（10%）和经济状况（8%）。
结论
未来的研究应探索糖尿病自我护理的具体障碍/促进因素，干预措施应向患有糖尿病的女性提供糖尿病教育、障碍管理和心理支持。需要创新的提供策略，以便在资源有限的农村社区提供这种支持。
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