College of Nursing, Florida State University, Tallahassee, Florida.
Department of Statistics, Florida State University, Tallahassee, Florida.
Public Health Nurs. 2020 Jan;37(1):16-24. doi: 10.1111/phn.12659. Epub 2019 Sep 5.
Diabetes is a major health problem that is closely linked with cardiovascular disease (CVD), the leading cause of death in the United States. The purpose of this analysis was to determine the effect of a culturally relevant diabetes health promotion program on diabetes knowledge and self-reported self-care behaviors.
A cluster randomized controlled trial was conducted in 12 rural church settings. Seven churches were randomized to the intervention group and five to the control group.
The sample included 146 African American participants diagnosed with diabetes and prediabetes.
The intervention group participants (n = 75) received the diabetes health program, and those in the control group (n = 71) group received a publicly available diabetes health brochure.
Data were collected about diabetes knowledge, self-care activities, fatalism, and social support.
Linear mixed model was the statistical test used to analyze group differences. Compared with the control group, the intervention group showed significant changes from pretest to posttest for diabetes knowledge and behaviors associated with diet and blood glucose testing.
Health promotion programs implemented by public health nurses among rural groups at increased risk for developing CVD can facilitate understanding about strategies to reduce disease risk.
糖尿病是一个主要的健康问题，与心血管疾病（CVD）密切相关，CVD 是美国的主要死亡原因。本分析的目的是确定一个具有文化相关性的糖尿病健康促进计划对糖尿病知识和自我报告的自我护理行为的影响。
在 12 个农村教堂环境中进行了一项群组随机对照试验。7 间教堂被随机分为干预组，5 间教堂被随机分为对照组。
样本包括 146 名被诊断患有糖尿病和前期糖尿病的非裔美国参与者。
干预组参与者（n=75）接受了糖尿病健康计划，对照组参与者（n=71）接受了可公开获得的糖尿病健康手册。
收集了有关糖尿病知识、自我护理活动、宿命论和社会支持的数据。
线性混合模型是用于分析组间差异的统计检验。与对照组相比，干预组在糖尿病知识和与饮食及血糖检测相关的行为方面，从预测试到后测试均显示出显著变化。
公共卫生护士在处于增加 CVD 发病风险的农村群体中实施的健康促进计划，可以促进对降低疾病风险策略的理解。
