University of Washington Medical School , Seattle, Washington, USA.
Popul Health Manag. 2010 Oct;13(5):227-33. doi: 10.1089/pop.2009.0065.
Psychological, emotional, and social factors not only impact quality of life, but also often play a role in chronic illness outcomes. Diabetes care, in particular, is greatly influenced by psychosocial factors when they hinder a person's ability to manage the disease and achieve metabolic control. Healthy coping, defined as responding to a psychological and physical challenge by recruiting available resources to increase the probability of favorable outcomes in the future, is essential to effective self-management by people with diabetes. In June 2009, the American Association of Diabetes Educators convened a multidisciplinary expert panel to discuss healthy coping in diabetes. The panel included diabetes educators and behavioral science and mental health professionals. Drawing on their knowledge and experiences, as well as information presented at the symposium, the panel probed several aspects of healthy coping including what it entails, common barriers, assessment, population diversity, and clinical applications. A team approach to addressing the patient's coping is critical. Team involvement relieves the diabetes educator of the entire burden of supporting the patient in this regard. The team should be broadly defined and include those who are formally and informally involved. Healthy coping is a complex, qualitative behavior that cannot be easily quantified. Future efforts to address the issue of healthy coping should add to the body of literature regarding diabetes self-management at the individual and population-based levels.
心理、情感和社会因素不仅影响生活质量，而且常常在慢性病结果中起作用。当心理社会因素妨碍人们管理疾病和实现代谢控制时，糖尿病护理尤其受到心理社会因素的影响。健康应对是指通过利用现有资源来应对心理和生理挑战，从而增加未来有利结果的可能性，这对于糖尿病患者的有效自我管理至关重要。2009 年 6 月，美国糖尿病教育协会召集了一个多学科专家小组来讨论糖尿病的健康应对。该小组包括糖尿病教育工作者以及行为科学和心理健康专业人员。该小组利用他们的知识和经验，以及专题研讨会上提供的信息，探讨了健康应对的几个方面，包括它所涉及的内容、常见障碍、评估、人群多样性和临床应用。解决患者应对问题的团队方法至关重要。团队的参与可以减轻糖尿病教育者在这方面支持患者的全部负担。该团队的定义应该广泛，包括正式和非正式参与的人员。健康应对是一种复杂的定性行为，不容易量化。未来解决健康应对问题的努力应该增加个体和基于人群的糖尿病自我管理文献的数量。
