Southern Illinois University Edwardsville, Edwardsville, IL
J Natl Black Nurses Assoc. 2021 Jul;32(1):22-27.
Understanding the association between social support and diabetes self-management activities in low income African-Americans provides knowledge for increasing culturally competent care. Diabetes mellitus poses a huge socioeconomic burden on the African-American population. Diabetes self-management is a complex process that requires the ability to manage symptoms, treatment, and physical and psychosocial changes in lifestyle. Norbeck's Social Support Questionnaire (NSSQ) and the Summary of Diabetes Self-Care Activities (SDSA) were used to examine the relationships between types and strengths of social support and selected diabetes self-care activities (e.g., diet, exercise, daily blood sugar testing, foot care, medications) in a random sample of 85 adult African-Americans with diabetes. Results of this study show inconsistent associations between social support and diabetes self-management activities. Significant positive correlations were found between participants washing their feet and emotional support, instrumental support, and functional support, r = .255, .253, .257 (ps < 0.05). However, the self-care activity of foot care was negatively associated with emotional social support, r = -.220, p (two-tailed) = .043 and total functional support, r = .214, p (two-tailed) = 0.05.
了解社会支持与低收入非裔美国人糖尿病自我管理活动之间的关系，为提高文化上合适的护理提供了知识。糖尿病给非裔美国人人口带来了巨大的社会经济负担。糖尿病自我管理是一个复杂的过程，需要有能力管理症状、治疗以及身体和心理社会生活方式的变化。Norbeck 的社会支持问卷（NSSQ）和糖尿病自我护理活动综述（SDSA）用于检查随机抽取的 85 名患有糖尿病的成年非裔美国人中，社会支持的类型和强度与特定的糖尿病自我护理活动（例如饮食、运动、每日血糖测试、足部护理、药物）之间的关系。这项研究的结果显示，社会支持与糖尿病自我管理活动之间存在不一致的关联。参与者洗脚与情感支持、工具支持和功能支持之间存在显著的正相关，r =.255，.253，.257（p < 0.05）。然而，足部护理的自我护理活动与情感社会支持呈负相关，r = -.220，p（双侧）=.043，与总功能支持呈负相关，r =.214，p（双侧）= 0.05。
