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Stress Reduction Strategies Used by Midlife Black Women to Target Cardiovascular Risk.
Journal of Cardiovascular Nursing ( IF 2 ) Pub Date : 2019-10-15 , DOI: 10.1097/jcn.0000000000000615
Holly J Jones 1 , Carolette R Norwood , Karen Bankston , Tamilyn Bakas
Affiliation  

BACKGROUND Midlife black women are at a high risk for cardiovascular disease and experience higher morbidity and mortality rates. Chronic life stress contributes to the existent cardiovascular-related disparities for midlife black women. OBJECTIVES The purpose of this qualitative study was to describe stress reduction strategies relevant to midlife black women, identify barriers, and generate ideas for the development of a stress reduction wellness intervention for midlife black women. METHODS A community advisory board consisting of 11 midlife black women from the Midwest was established and charged with exploring life stress and stress-related issues for women like themselves. The community advisory board was led through a series of focus group discussions using open-ended questions focused on stress reduction strategies used by midlife black women, what kept them from incorporating stress reduction strategies into their daily routines, and what would be helpful in a stress reduction routine. Discussions were audiotaped, transcribed, coded, and analyzed using content analysis. RESULTS Stress reduction strategies identified included exercise, faith and prayer, self-care, sisterhood, volunteerism, and mindfulness. Barriers to adopting stress reduction behaviors included time, finances, physical limitations, health status, health insurance, and guilt. Suggested modes of delivery for an intervention included informative lectures and coaching, demonstration, team sessions, social media, and continued access. CONCLUSIONS Findings from this study were consistent with those from a preliminary study focused on midlife black women from the West Coast. Recommendations will inform development of a stress reduction wellness intervention for midlife black women.

中文翻译:

中年黑人妇女用于缓解心血管疾病风险的缓解压力策略。

背景技术中年黑人妇女患心血管疾病的风险很高,并且发病率和死亡率较高。慢性生活压力导致中年黑人妇女存在与心血管有关的差异。目的本定性研究的目的是描述与中年黑人妇女有关的压力减轻策略,确定障碍,并为开发针对中年黑人妇女的压力减轻健康干预措施提出想法。方法建立了一个由11名来自中西部的中年黑人妇女组成的社区咨询委员会,负责探索像自己这样的妇女的生活压力和与压力有关的问题。社区咨询委员会通过一系列开放性问题进行了一系列焦点小组讨论,这些问题侧重于中年黑人妇女所采用的减压策略,是什么使她们无法将减压策略纳入其日常工作中,以及对于缓解压力有什么帮助?减少常规。使用内容分析对讨论进行录音,转录,编码和分析。结果确定的减轻压力的策略包括运动,信仰和祈祷,自我保健,姐妹,志愿服务和正念。采取减轻压力行为的障碍包括时间,财务,身体限制,健康状况,健康保险和负罪感。建议的干预方式包括信息丰富的讲座和辅导,示范,团队会议,社交媒体以及持续访问。结论本研究的结果与针对西海岸中年黑人妇女的初步研究的结果一致。这些建议将为中年黑人妇女减少压力的健康干预措施的发展提供信息。
更新日期:2019-11-01
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