University of Colorado, College of Nursing, Aurora, Colorado 80045, USA.
Issues Ment Health Nurs. 2012 Nov;33(11):786-96. doi: 10.3109/01612840.2012.713446.
Self-management (SM) behaviors reduce disease burden from advancing diabetic kidney disease. From a parent study about patients' transition experience to SM, this study report presents coping resources that support SM and barriers from two focus group interviews (n = 6). Ethnographic analysis identified two patterns: (a) mental health self-management characterized by coping, and (b) relational self-management characterized by social support. Practice implications include focused assessment of perceived social support and social network, dating advisement, and workplace management. Future study considerations include inquiry about diabetes and dating relationships and workplace resources for SM support.
自我管理行为可减轻糖尿病肾病进展带来的疾病负担。本研究报告源自一项关于患者向自我管理过渡经历的母研究，介绍了两种焦点小组访谈（n=6）中支持自我管理的应对资源和障碍。人种学分析确定了两种模式：（a）心理健康自我管理，其特征是应对，（b）关系自我管理，其特征是社会支持。实践意义包括对感知社会支持和社交网络、约会咨询以及工作场所管理的重点评估。未来研究需要考虑糖尿病和约会关系以及支持自我管理的工作场所资源的调查。
