日常活动对糖尿病自我管理参与度的影响。
The influence of daily routines on engaging in diabetes self-management.
作者信息
Fritz Heather
机构信息
Division of Occupational Science, University of North Carolina at Chapel Hill , Chapel Hill, NC , USA.
出版信息
Scand J Occup Ther. 2014 May;21(3):232-40. doi: 10.3109/11038128.2013.868033. Epub 2013 Dec 13.
OBJECTIVE
In contrast to previous research concerning the importance of routines in occupational engagement, most of which have largely focused on the routines of children and families, in this study a qualitative methodology was used to understand how routines function in a specific occupation: diabetes self-management (DSM).
METHODS
Ten low-income women participated in a multiple-methods study that involved completing a time-geographic diary (TGD) and participating in a TGD interview.
RESULTS
Findings reveal that pre-existing routines must be changed so that they may better support engagement in DSM, and that such changes are tied to underlying habits and life situations. The experiences of study participants also showed that the distribution of daily occupations through time and across social spheres can be both supportive of and problematic for engaging in DSM. In addition, the structure and sequence of competing daily occupations influences the available time and opportunities for people to further develop their skills and become more adept self-managers.
CONCLUSIONS
The implications of these findings for occupational science and therapy are discussed.
目的
与以往关于日常活动在职业参与中的重要性的研究不同，以往的研究大多主要关注儿童和家庭的日常活动，在本研究中，采用定性方法来理解日常活动在特定职业——糖尿病自我管理（DSM）中是如何发挥作用的。
方法
10名低收入女性参与了一项多方法研究，该研究包括完成一份时间地理学日记（TGD）并参与一次TGD访谈。
结果
研究结果表明，必须改变现有的日常活动，以便它们能更好地支持DSM参与，而且这种改变与潜在习惯和生活状况相关。研究参与者的经历还表明，日常职业在时间上和社会领域中的分布对参与DSM既可能有支持作用，也可能存在问题。此外，相互竞争的日常职业的结构和顺序会影响人们进一步发展技能并成为更熟练的自我管理者的可用时间和机会。
结论
讨论了这些发现对职业科学和治疗的意义。
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