Collins-McNeil Janice, Edwards Christopher L, Batch Bryan C, Benbow Debra, McDougald Camela S, Sharpe Daphne
Division of Nursing, Winston-Salem State University, Winston-Salem, North Carolina, USA.
Can J Nurs Res. 2012 Dec;44(4):126-41.
Inadequate knowledge of the influence of lifestyle on clinical outcomes contributes to the difficulties many African Americans experience with type 2 diabetes mellitus (T2DM). This pilot study examined a 12-week church-based culturally targeted diabetes self-management education (DSME) intervention for middle-aged and older African Americans with T2DM. Quantitative data were collected at baseline and at 12 weeks and included questionnaires and anthropometric measures. There were significant increases in medication adherence (p = .006), healthy eating (p = .009), and foot care adherence (p = .003). The intervention had a clinically significant effect on systolic blood pressure, blood lipids, physical activity, and waist circumference. Church-based culturally targeted DSME interventions may result in improved outcomes for African-American adults with T2DM. The authors discuss the value of community-based interventions that target behavioural changes in populations of chronically ill patients, particularly those who historically have been disenfranchised and/or underserved.
对生活方式对临床结果的影响缺乏了解，导致许多非裔美国人在2型糖尿病（T2DM）方面面临困难。这项试点研究针对患有T2DM的中老年非裔美国人，考察了一项为期12周、以教会为基础、针对特定文化的糖尿病自我管理教育（DSME）干预措施。在基线和12周时收集了定量数据，包括问卷调查和人体测量指标。药物依从性（p = 0.006）、健康饮食（p = 0.009）和足部护理依从性（p = 0.003）均有显著提高。该干预措施对收缩压、血脂、身体活动和腰围产生了具有临床意义的影响。以教会为基础、针对特定文化的DSME干预措施可能会改善患有T2DM的非裔美国成年人的治疗效果。作者讨论了针对慢性病患者群体行为改变的社区干预措施的价值，特别是那些历史上被剥夺权利和/或服务不足的患者。
