Krederdt-Araujo Sherin L, Dominguez-Cancino Karen A, Jiménez-Cordova Reynelda, Paz-Villanueva Mariella Y, Fernandez Julio Mendigure, Leyva-Moral Juan M, Palmieri Patrick A
Universidad Norbert Wiener, Lima, Peru.
Universidad María Auxiliadora, Lima, Peru.
Hisp Health Care Int. 2019 Dec;17(4):162-171. doi: 10.1177/1540415319847493. Epub 2019 May 16.
In Peru, people living with diabetes mellitus (PLDM) represent 7% of the adult population, each with a $54,000 lifetime cost. For Latinos, spirituality provides meaning and purpose of life while social support affects behavioral choices and adherence decisions. The purpose of this study was to determine the relationship between spirituality and social support for PLDM participating in a nurse-led diabetes management program in a public hospital in Lima, Peru.
This cross-sectional study included adult PLDM ( = 54). The instrument included demographic items and the Spanish versions of the social/vocational concern dimension of the Diabetes Quality of Life Questionnaire and the Reed's scale of spiritual perspective.
There was an inverse relation between social support and spiritually practices ( = .020) and spiritual beliefs ( = .005). PLDM with 5 years or more in the program had significantly higher scores in social support ( = .020) and spiritual practices ( = .010).
Spirituality and social support are important factors for managing PLDM. Nurse-led diabetes management programs with Latino participants should consider targeted spiritual and social support strategies to expand the holistic management. Future studies should explore the impact and effectiveness of spiritual and social support interventions on clinical outcomes.
在秘鲁，糖尿病患者占成年人口的7%，每人一生的花费为54,000美元。对于拉丁裔而言，精神信仰赋予生活意义和目的，而社会支持则影响行为选择和依从性决策。本研究的目的是确定在秘鲁利马的一家公立医院参加由护士主导的糖尿病管理项目的糖尿病患者的精神信仰与社会支持之间的关系。
这项横断面研究纳入了成年糖尿病患者（n = 54）。研究工具包括人口统计学项目以及糖尿病生活质量问卷社会/职业关注维度的西班牙语版本和里德精神视角量表。
社会支持与精神实践（p = 0.020）和精神信仰（p = 0.005）之间存在负相关关系。参加该项目5年或更长时间的糖尿病患者在社会支持（p = 0.020）和精神实践（p = 0.010）方面的得分显著更高。
精神信仰和社会支持是糖尿病患者管理的重要因素。针对拉丁裔参与者的由护士主导的糖尿病管理项目应考虑有针对性的精神和社会支持策略，以扩大整体管理。未来的研究应探讨精神和社会支持干预对临床结局的影响和效果。
