McDonald Patricia E, Wykle May L, Yarandi Hossein N
Frances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, OH.
College of Nursing, Office of Health Research, Wayne State University, Detroit, MI.
J Natl Black Nurses Assoc. 2017 Dec;28(2):7-12.
The pilot study described here was a test of interventions designed to enhance long-term disease management of African-Americans with type 2 diabetes in faith-based organizations. A quasi-experimental design based on 46 participants was used comparing three interventions: guided imagery, group counseling, and routine care. Unexpectedly, the number of self-reported hypoglycemic episodes significantly increased in the Rational Emotive Behavioral Therapy (REBT) group, depressive symptoms significantly increased in the guided imagery group, and the mean hemoglobin A1c values did not significantly differ for any group. In future research, the authors will incorporate an interim step investigating the theory of integration (Hernandez, Antone, & Cornelius, 1999) to increase the explanatory power in assessing treatment effects of African-Americans in faith-based organizations.
此处描述的试点研究是对旨在加强非裔美国2型糖尿病患者在基于信仰的组织中进行长期疾病管理的干预措施的测试。采用了基于46名参与者的准实验设计，比较了三种干预措施：引导式意象、团体咨询和常规护理。出乎意料的是，理性情绪行为疗法（REBT）组自我报告的低血糖发作次数显著增加，引导式意象组的抑郁症状显著增加，且任何一组的平均糖化血红蛋白值均无显著差异。在未来的研究中，作者将纳入一个中间步骤，研究整合理论（埃尔南德斯、安东内和科尼利厄斯，1999年），以提高评估基于信仰的组织中非洲裔美国人治疗效果的解释力。
