title: Functional health status of persons with diabetes in a nurse-managed clinic.
abstract: OBJECTIVE
  The purpose of this psychometric analysis was to (1) describe the functional health status of medically underserved persons with diabetes participating in an exercise program; (2) examine the relationships between functional health status scores and physiologic measures for blood pressure, heart rate, and blood glucose levels; and (3) examine the reliability and validity of the Medical Outcomes Study SF-36 survey.
  
  
  METHODS
  Data were collected from 31 men and women receiving diabetes disease management in a community-based nurse-managed clinic. The SF-36 survey was used to measure functional health status. Blood pressure, heart rate, and blood glucose also were measured (pretest/posttest).
  
  
  RESULTS
  The SF-36 survey had good internal consistency in the total sample. Blood pressure and blood glucose levels decreased significantly and heart rate increased significantly from pretest to posttest. Functional health status was negatively associated with physiological parameters.
  
  
  CONCLUSIONS
  Further research is needed on the use of the SF-36 survey in medically underserved persons with diabetes because this instrument lacked construct validity as a measure of functional health status in this population.
authors.affiliation: Marshall University, College of Nursing and Health Professions, Huntington, West Virginia, USA. hartley@marshall.edu
authors.forename: Lou Ann
authors.initials: LA
authors.lastname: Hartley
mesh_terms: D000328:Adult; D000368:Aged; D001786:Blood Glucose / Q000032:analysis; D001794:Blood Pressure; D003153:Community Health Services / Q000458:organization & administration*; D003920:Diabetes Mellitus / Q000451:nursing* / Q000503:physiopathology / Q000523:psychology*; D004644:Emotions; D005260:Female; D006304:Health Status; D006339:Heart Rate; D006801:Humans; D008297:Male; D008875:Middle Aged; D009718:Nurse Administrators; D012959:Socioeconomic Factors
chemical_list: D001786:Blood Glucose