Texas A&M University, Corpus Christi, TX, USA.
J Transcult Nurs. 2021 Nov;32(6):799-809. doi: 10.1177/1043659621994664. Epub 2021 Feb 16.
Lack of culturally sensitive, age-specific diabetes education in Mexican American older aged people may contribute to deficits in diabetes knowledge, self-management, and glycemic control. This quality improvement initiative applied evidence-based, culturally competent, age-specific education to improve health outcomes. A one-group, pretest/posttest design guided this project in a primary care community clinic. Mexican American adults >60 years, with type 2 diabetes mellitus (T2DM; = 12) received 3 months of biweekly innovative classes including: healthy Mexican foods; family involvement; Spanish interpreter using simultaneous earphone technology; and interactive, bilingual, large-print materials. Paired sample tests compared diabetes knowledge, self-management, and A1C levels. There was a significant improvement in preeducation and posteducation outcomes: knowledge, (11) = -7.969, = .000; = 2.32, self-management, (11) = -7.930, = .000; = 2.43, and A1C levels, (11) = 6.434, = .000; = 0.78. Culturally competent, language-friendly innovation, age-specific T2DM education can positively impact knowledge, self-management behaviors, and glycemic values in older aged Mexican American people.
墨西哥裔美国老年人中缺乏文化敏感、针对特定年龄的糖尿病教育，这可能导致他们在糖尿病知识、自我管理和血糖控制方面存在不足。这项质量改进计划应用了基于证据、具有文化能力、针对特定年龄的教育，以改善健康结果。在一家初级保健社区诊所，采用单组前后测试设计指导了这个项目。2 型糖尿病（T2DM；n=12）的 60 岁以上墨西哥裔美国成年人接受了为期 3 个月、每两周一次的创新课程，包括：健康的墨西哥食品；家庭参与；使用耳机同步技术的西班牙语口译员；以及互动式、双语、大字印刷材料。配对样本检验比较了糖尿病知识、自我管理和 A1C 水平。在教育前和教育后的结果方面有显著改善：知识，(11)=-7.969，p<.000；η²=2.32，自我管理，(11)=-7.930，p<.000；η²=2.43，和 A1C 水平，(11)=6.434，p<.000；η²=0.78。文化上有能力、语言友好的创新、针对特定年龄的 T2DM 教育可以积极影响老年墨西哥裔美国人的知识、自我管理行为和血糖值。
