Celik Selda, Kelleci Meral, Satman Ilhan
Department of Internal Medicine, Istanbul University, Division of Endocrinology and Metabolism, Istanbul, Turkey;
Department of Nursing, Faculty of Health Sciences, Cumhuriyet University, Sivas, Turkey;
Int J Community Based Nurs Midwifery. 2015 Apr;3(2):84-95.
The objective of this qualitative study on young adults with type 1 diabetes was to determine the factors associated with mismanagement of diabetes.
In this qualitative study, a descriptive phenomenological and psychological method was followed. Purposeful sampling method was used in this study. 28 young adults aged 18-25 with type 1 diabetes (16 females, 12 males) with HbA1c levels >6.5% were interviewed in-depth. Each interview lasted 40-45 minutes. The recorded interviews were transcribed verbatim, examined line-by-line and coded using open coding techniques and managed by QSR NVivo 7. During the research period, Guba ve Lincolln criteria were used to ensure the accuracy and precision of the study findings.
The study identified seven themes which affect the diabetes management of the patients. These themes were negative emotions about the disease, difficulties arising from living condition, difficulties arising from the treatment treatment process, lack of social support, not solution oriented coping methods, concerns about the future and issues of developing knowledge and attitude regarding diabetes management.
There are multiple factors affecting the management of diabetes in young adults with type 1 diabetes. Diabetes has a biopsychosocial impact on young adults' lives, developing a negative attitude toward their future and that of their family.
这项针对1型糖尿病青年成年人的定性研究旨在确定与糖尿病管理不善相关的因素。
在这项定性研究中,采用了描述性现象学和心理学方法。本研究采用了目的抽样法。对28名年龄在18 - 25岁、HbA1c水平>6.5%的1型糖尿病青年成年人(16名女性,12名男性)进行了深入访谈。每次访谈持续40 - 45分钟。对记录的访谈进行逐字转录,逐行检查,并使用开放编码技术进行编码,由QSR NVivo 7管理。在研究期间,使用古巴和林肯标准来确保研究结果的准确性和精确性。
该研究确定了影响患者糖尿病管理的七个主题。这些主题包括对疾病的负面情绪、生活条件带来的困难、治疗过程中出现的困难、缺乏社会支持、非解决导向的应对方法、对未来的担忧以及关于糖尿病管理的知识和态度发展问题。
有多种因素影响1型糖尿病青年成年人的糖尿病管理。糖尿病对青年成年人的生活具有生物心理社会影响,对他们自己及其家庭的未来产生消极态度。