Daley Christine M, Hale Jason W, Berryhill Kelly, Bointy Shelley, Clark Lauren, Chase Brian, LeMaster Joseph, He Jianghua
Professor of Family Medicine and Preventive Medicine & Public Health Director, Center for American Indian Community Health, USA.
Research Instructor of Family Medicine, Assistant Director, Center for American Indian Community Health, USA.
ARC J Diabetes Endocrinol. 2017;3(1):34-41. doi: 10.20431/2455-5983.0301005.
The purpose of this study was to understand if American Indian adults with diabetes in the Midwest are similar to American Indian adults nationally in their self-management behaviors. This cross-sectional survey was conducted from May 2009 to April 2010 at powwows, health fairs, and other community events. The convenience sample self-selected into the study and answered questions via touch screen computer about diabetes self-management. Participants were significantly below the national average for American Indians in their adherence to self-management recommendations in daily foot checks (p=0.0035) and having had a dilated eye exam in the previous year (p=0.0002), despite being significantly more likely to have taken a diabetes self-management class (p<0.0001). They were similar to the national average for daily glucose checks and having had one or more hemoglobin A1C tests in the previous year. Participants were less likely to eat 5 or more servings of fruits or vegetables per day (p=0.0001), but more likely to achieve 150 minutes or more of physical activity per week (p=0.0001). Programs addressing self-care issues should be developed to help improve the self-management habits of American Indian adults with diabetes, with particular attention to activities outside of monitoring blood glucose and hemoglobin A1C levels.
本研究的目的是了解美国中西部患有糖尿病的印第安成年人在自我管理行为方面是否与全国范围内的印第安成年人相似。这项横断面调查于2009年5月至2010年4月在印第安集会、健康博览会及其他社区活动中开展。便利样本自行选择参与研究，并通过触摸屏电脑回答有关糖尿病自我管理的问题。尽管参与研究的印第安人参加糖尿病自我管理课程的可能性显著更高（p<0.0001），但在每日足部检查中遵循自我管理建议（p=0.0035）以及上一年接受散瞳眼部检查（p=0.0002）方面，他们显著低于全国印第安人的平均水平。在每日血糖检查以及上一年进行过一次或多次糖化血红蛋白检测方面，他们与全国平均水平相似。参与者每天食用5份或更多份水果或蔬菜的可能性较小（p=0.0001），但每周进行150分钟或更长时间体育活动的可能性较大（p=0.0001）。应制定解决自我护理问题的项目，以帮助改善患有糖尿病的美国印第安成年人的自我管理习惯，尤其要关注监测血糖和糖化血红蛋白水平之外的活动。
