Abdoli Samereh, Ashktorab Tahereh, Ahmadi Fazlollah, Parvizy Soroor, Dunning Trisha
Department of Adult Nursing, Nursing and Midwifery Research Care Centre, Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.
Department of Medical-Surgical, Faculty of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Iran J Nurs Midwifery Res. 2014 Mar;19(2):145-51.
All health professionals are responsible for facilitating empowerment among people with diabetes. However, research suggests that health professionals do not have the knowledge and skills to help people with diabetes become empowered. As a result, many Iranian people with diabetes do not become empowered. The aim of the study was to explore and understand how empowerment occurs in Iranian people with diabetes.
Grounded theory using individual open in-depth interviews, field notes, and memos was used to collect data from 25 people with diabetes, their families, and health professionals. Strauss and Corbin's constant comparative analysis was used to analyze the data.
Empowerment is a transitional, perceptual, and continuous process. The process for people with diabetes includes threatened identity when diabetes is diagnosed, reconstructing identity, and integrating diabetes into identity to become an empowered person with diabetes. The empowerment process was influenced by a combination of knowledge, social support, values and beliefs, psychosocial issues, and the nature of diabetes.
Health professionals can help people with diabetes integrate diabetes into their identity and become empowered; however, becoming empowered is complicated and occurs over time.
所有医疗专业人员都有责任促进糖尿病患者增强自我效能感。然而，研究表明，医疗专业人员缺乏帮助糖尿病患者增强自我效能感所需的知识和技能。因此，许多伊朗糖尿病患者并未获得自我效能感。本研究的目的是探索和理解伊朗糖尿病患者的自我效能感是如何形成的。
采用扎根理论，通过个体开放式深度访谈、实地记录和备忘录，从25名糖尿病患者、他们的家人以及医疗专业人员那里收集数据。使用施特劳斯和科尔宾的持续比较分析法对数据进行分析。
自我效能感是一个过渡性、感知性且持续的过程。糖尿病患者的这个过程包括确诊糖尿病时的身份威胁、身份重构，以及将糖尿病融入身份认同，从而成为有自我效能感的糖尿病患者。自我效能感的形成过程受到知识、社会支持、价值观和信念、心理社会问题以及糖尿病本质等多种因素的综合影响。
医疗专业人员可以帮助糖尿病患者将糖尿病融入其身份认同并增强自我效能感；然而，增强自我效能感是一个复杂的过程，且需要时间。
