Skrine Jeffers Kia, Cadogan Mary, Heilemann MarySue V, Phillips Linda R
J Gerontol Nurs. 2019 Feb 1;45(2):35-41. doi: 10.3928/00989134-20190111-06.
Some researchers attribute the excess rates of diabetes complications among African American older adults compared to other racial/ethnic subgroups to low diabetes knowledge. Diabetes knowledge measures have a biomedical orientation, including knowledge of glycemic control and using diet and exercise to control blood sugar. Measures do not assess informal knowledge that patients obtain outside of the clinical environment. The distinction between formal and informal knowledge is meaningful for cultural groups such as African American individuals who have historically transferred knowledge about maintaining their health "through the grapevine." A qualitative approach was used to understand participants' informal diabetes knowledge. Three major themes identified addressed the threat that participants perceived when diagnosed, the social construction of diabetes knowledge through their lived and observed experiences, and the limited role that clinicians played in participants' diabetes knowledge acquisition. Findings reveal ways nurses can individualize the diabetes education they provide to African American older adults based on their experiential understanding. [Journal of Gerontological Nursing, 45(2), 35-41.].
一些研究人员将非裔美国老年人相较于其他种族/族裔亚组更高的糖尿病并发症发生率归因于糖尿病知识水平较低。糖尿病知识测量具有生物医学导向，包括血糖控制知识以及通过饮食和运动控制血糖的知识。这些测量方法并未评估患者在临床环境之外获得的非正式知识。对于像非裔美国人这样历史上通过小道消息传递健康维护知识的文化群体而言，正式知识与非正式知识之间的区别具有重要意义。采用定性方法来理解参与者的非正式糖尿病知识。确定的三个主要主题涉及参与者在被诊断时所感知到的威胁、通过他们的生活和观察经历对糖尿病知识的社会建构，以及临床医生在参与者获取糖尿病知识过程中所起的有限作用。研究结果揭示了护士可以如何基于对非裔美国老年人经验的理解，使他们提供的糖尿病教育个性化。[《老年护理杂志》，45(2)，35 - 41。]
