Komar-Samardzija Melanie, Braun Lynne T, Keithley Joyce K, Quinn Lauretta T
University of Chicago Medical Center, Chicago, IL 60637, USA.
J Am Acad Nurse Pract. 2012 Apr;24(4):209-17. doi: 10.1111/j.1745-7599.2011.00674.x. Epub 2011 Nov 27.
To examine how family/friend social support, exercise self-efficacy, physical environment, sense of community, social issues and roles, socioeconomic status, and body image discrepancy influence physical activity levels in African American females with type 2 diabetes.
A sample of 50 African American females with type 2 diabetes was recruited from a Midwest diabetes center for this descriptive, cross-sectional, correlational study. A series of self-report instruments were administered to examine the relationships between the independent study variables and physical activity levels.
Results of the study suggested that higher levels of exercise self-efficacy, family social support for exercise, and a decrease in physical environmental barriers may serve to increase physical activity levels in this population. No significant relationships were observed between the other study variables and physical activity levels.
Nurse practitioners working with African American females with type 2 diabetes need to assess family social support, exercise self-efficacy, and physical environmental barriers and plan interventions that incorporate family support and the principles of self-efficacy while minimizing environmental barriers. Further exploration is warranted to examine the relationship between body image discrepancy and physical activity in this population.
探讨家庭/朋友社会支持、运动自我效能感、物理环境、社区意识、社会问题与角色、社会经济地位以及身体意象差异如何影响非裔美国2型糖尿病女性的身体活动水平。
从一家中西部糖尿病中心招募了50名非裔美国2型糖尿病女性样本，用于这项描述性、横断面、相关性研究。使用了一系列自我报告工具来检验独立研究变量与身体活动水平之间的关系。
研究结果表明，较高水平的运动自我效能感、家庭对运动的社会支持以及物理环境障碍的减少可能有助于提高该人群的身体活动水平。未观察到其他研究变量与身体活动水平之间存在显著关系。
为非裔美国2型糖尿病女性提供护理的执业护士需要评估家庭社会支持、运动自我效能感和物理环境障碍，并制定干预措施，将家庭支持和自我效能感原则纳入其中，同时尽量减少环境障碍。有必要进一步探索，以研究该人群中身体意象差异与身体活动之间的关系。
