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“这不是一种疾病,而是一种麻烦”:控制糖尿病和实现 1 型糖尿病男性患者的目标。

'It's not a disease, it's a nuisance': controlling diabetes and achieving goals in the context of men with Type 1 diabetes.

机构信息

a Division of Psychology , Nottingham Trent University , Nottingham , UK .

出版信息

Psychol Health. 2013 Nov;28(11):1227-45. doi: 10.1080/08870446.2013.800516. Epub 2013 May 29.

Abstract

Despite a steady growth in research into men's health, little is known about how men experience life with a chronic illness like Type 1 diabetes. To address this knowledge gap, we conducted an interview study with 15 men who have Type 1 diabetes. Following grounded theory analysis of the interview transcripts, we generated a number of inter-related themes which were then formulated as a theory of adjustment to life with Type 1 diabetes. This theory indicates that men reduce the seriousness of diabetes by defining it in ways other than a serious illness. By viewing diabetes in this way, men are then able to prioritise the pursuit of their personal goals over adherence to the diabetes regimen. Finally, men reassess their relationship with diabetes in light of diabetes-related complications. The goal of this process is to find the 'best fit' for diabetes in their lives - a place which will allow them to pursue and satisfy their personal goals. As men progress through life, personal goals may change and so too will their relationship with diabetes.

摘要

尽管男性健康研究稳步增长,但对于男性如何体验 1 型糖尿病等慢性疾病的生活知之甚少。为了弥补这一知识空白,我们对 15 名患有 1 型糖尿病的男性进行了访谈研究。在对访谈记录进行扎根理论分析后,我们生成了一些相互关联的主题,然后将其构建成一个关于 1 型糖尿病生活调整的理论。该理论表明,男性通过将糖尿病定义为非严重疾病的方式来降低其严重性。通过这种方式看待糖尿病,男性就能将追求个人目标置于遵守糖尿病治疗方案之上。最后,男性会根据与糖尿病相关的并发症重新评估他们与糖尿病的关系。这一过程的目标是在他们的生活中找到与糖尿病“最佳匹配”的位置——一个能够让他们追求和满足个人目标的位置。随着男性步入人生的不同阶段,个人目标可能会发生变化,他们与糖尿病的关系也会随之变化。

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