种族调节了心力衰竭患者感知到的社会支持和自我照顾信心之间的关系
The Journal of cardiovascular nursing
|September 14, 2023
概括
种族影响社会支持如何影响心力衰竭自我护理信心. 白人患者显示出一种联系,而非裔美国人则没有,这凸显了在心力衰竭 (HF) 护理中需要量身定制的干预措施的需要.
科学领域:
- 心脏病学 心脏病学
- 健康差异 在健康上的差异
- 行为科学 行为科学
背景情况:
- 非洲裔美国人面临心力衰竭 (HF) 的最高风险和住院率.
- 缺乏自我照顾,低信心和有限的社会支持等因素与HF住院有关.
- 关于种族如何影响HF患者的自我护理信心的研究有限.
研究的目的:
- 调查是否种族调节感知到的社会支持和心力衰竭患者的自我照顾信心之间的关系.
- 了解社会支持如何影响自我照顾信心的种族差异.
主要方法:
- 来自429名非裔美国人和白人心力衰竭患者的横截面数据的二次分析.
- 使用了多维规模的感知社会支持和自我照顾信心尺度.
- 使用通过等级线性回归的调节分析.
主要成果:
- 研究人员发现,感知到的社会支持与种族之间存在显著的相互作用.
- 白人患者的自我护理信心与社会支持水平有显著差异 (b = 0.224,P < .001).
- 非洲裔美国患者在社会支持和自我护理信心之间没有显著的关系 (b = -0.776,P = .832).
结论:
- 感知到的社会支持对基于种族的自我照顾信心有不同的影响.
- 建议需要针对种族的具体干预措施来提高自我照顾的信心,并减少HF住院治疗.
- 需要进一步的研究来开发和测试量身定制的干预措施.
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