University of Pennsylvania School of Nursing, Philadelphia, USA.
West Chester University of Pennsylvania, USA.
Clin Nurs Res. 2022 Mar;31(3):413-425. doi: 10.1177/10547738211056168. Epub 2021 Nov 2.
This cross-sectional study aims to describe the self-care of adult African immigrants in the US with chronic illness and explore the relationship between acculturation and self-care. A total of 88 African immigrants with chronic illness were enrolled. Self-care was measured with the Self Care of Chronic Illness Inventory v3 and the Self-Care Self-Efficacy scale. Scores are standardized 0 to 100 with scores >70 considered adequate. Acculturation was measured using a modified standardized acculturation instrument and predefined acculturation proxies. The self-care scores showed adequate self-care, with the mean scores of 78.6, 77.9, and 75.6 for self-care maintenance, monitoring, and management. Self-care self-efficacy mean score was 81.3. Acculturation was not significantly associated with self-care. Self-care self-efficacy was a strong determinant of self-care maintenance ( < .0001), monitoring ( < .0001), and management ( < .0001). The perception of inadequate income was a significant determinant of poor self-care management ( = .03). Self-care self-efficacy and perceived income adequacy were better determinants of self-care than acculturation.
这项横断面研究旨在描述美国患有慢性病的成年非洲移民的自我护理情况，并探讨文化适应与自我护理之间的关系。共纳入 88 名患有慢性病的非洲移民。采用慢性病自我护理量表 v3 和自我护理自我效能量表来衡量自我护理。得分标准化为 0 到 100，得分>70 被认为是足够的。采用改良的标准化文化适应工具和预定义的文化适应替代指标来衡量文化适应。自我护理评分显示出足够的自我护理，自我护理维持、监测和管理的平均得分为 78.6、77.9 和 75.6。自我护理自我效能的平均得分为 81.3。文化适应与自我护理无显著相关性。自我护理自我效能是自我护理维持（<0.0001）、监测（<0.0001）和管理（<0.0001）的重要决定因素。收入不足的感知是自我护理管理不良的重要决定因素（=0.03）。自我护理自我效能和感知到的收入充足性比文化适应更能决定自我护理。
