Rayman Kathleen, Ellison Geraldine
College of Nursing, East Tennessee State University, Johnson City, Tennessee 37614, USA.
Health Care Women Int. 2004 Dec;25(10):900-15. doi: 10.1080/07399330490508604.
Using an inductive interpretive approach we examined the early experiences of women learning intensive self-management of type 2 diabetes. The women expressed feelings of being very much "home alone" during their initial self-management experience, in spite of having requisite knowledge and skills from completing a state-of-the-art multidisciplinary diabetes educational program. Invariably, engagement in the self-management process resulted in strong emotional responses, self-blame, and negative characterizations of self. Conditions associated with ways of being engaged in intensive self-management are described and provide practitioners with needed personal and contextual information to inform clinical care.
我们采用归纳解释法，研究了女性学习2型糖尿病强化自我管理的早期经历。尽管这些女性通过完成一项先进的多学科糖尿病教育计划获得了必要的知识和技能，但在最初的自我管理经历中，她们仍表示感觉非常“孤立无援”。参与自我管理过程 invariably 会引发强烈的情绪反应、自责和对自我的负面认知。文中描述了与强化自我管理参与方式相关的情况，为从业者提供了必要的个人和背景信息，以指导临床护理。
