University of Louisville School of Nursing, Louisville, KY, USA.
Wenzhou Medical University School of Nursing, Wenzhou, Zhejiang, China.
J Racial Ethn Health Disparities. 2018 Feb;5(1):111-116. doi: 10.1007/s40615-017-0349-x. Epub 2017 Mar 9.
Health care providers (HCPs) face many obstacles as they undertake efforts to meet the challenges of caring for African American patients with comorbid diabetes and depression. This review article discusses the incidence of comorbid diabetes and depression in African Americans, cultural factors affecting diabetes self-management, and clinical practice implications for the HCP. The role of patient-centered care, engagement, and best-practice strategies are discussed to provide the HCP with guidelines regarding the minimal standards that support improved health care outcomes for African Americans with comorbid diabetes and depression.
医疗保健提供者(HCP)在努力应对照顾患有合并糖尿病和抑郁症的非裔美国患者的挑战时,面临着许多障碍。本文综述了非裔美国人合并糖尿病和抑郁症的发生率、影响糖尿病自我管理的文化因素,以及 HCP 的临床实践意义。本文还讨论了以患者为中心的护理、参与和最佳实践策略的作用,为 HCP 提供了有关支持合并糖尿病和抑郁症的非裔美国人改善医疗保健结果的最低标准的指南。