Rasmussen Bodil, Dunning Trisha, Cox Helen, O'Connell Beverly
Senior Lecturer, Deakin University, School of Nursing, Melbourne Campus, Burwood, Victoria, AustraliaProfessor, Inaugural Chair in Nursing, Barwon Health and Deakin University, Geelong, Victoria, AustraliaEmeritus Professor, Deakin University, Geelong, Victoria, AustraliaProfessor, Chair in Nursing, Southern Health and Deakin University, Melbourne, Victoria, Australia.
J Clin Nurs. 2008 Nov;17(11c):380-9. doi: 10.1111/j.1365-2702.2008.02342.x.
The aim of the study was to explore and describe the strategies young women with type 1 diabetes used to manage life transitions. The paper describes one aspect of how guilt dynamic often operates between mothers and daughters and how the women managed the guilt dynamic to create stability in their lives.
When a child is diagnosed with diabetes, major transitional changes occur in the relationships between the mother and her child. The changes affect the psychological and social aspects of their lives and have a major impact on how young women manage their diabetes. A guilt dynamic between mothers and young women with diabetes emerged as a major theme in a larger study that investigated how young women with diabetes managed life transitions. Although the literature indicates that mothers of chronically ill children experience guilt feelings towards their children, little research was identified that addressed the emotional dynamics between mothers and daughters with diabetes.
Using grounded theory method, interviews were conducted with 20 women with type 1 diabetes and five mothers during 2002 and 2003. Constant comparative analysis was used to analyse the data and develop an in-depth understanding of the experience of living with diabetes during life transitions.
The findings revealed that guilt feelings created a two-way dependency between mothers and their daughters with diabetes. The two-way dependency involved feelings of being a burden to each other, difficulty balancing responsibilities for diabetes management, difficulty relinquishing emotional and social dependency especially during life transitions. In addition, these issues were rarely discussed openly with each other or with health professionals. The findings provide additional information about the human experience of the mother-daughter relationship and the effect on coping with diabetes in the context of life transitions.
Understanding the impact diabetes has on the emotional and social well being of both women with type 1 diabetes and their mothers is critical in planning appropriate support for both groups. Most importantly, it is critical to understand the guilt dynamic that operates during young women with diabetes' life transitions when the daughters' dependency on their mother's control and responsibility for diabetes management undergo changes resulting in emotional responses, especially guilt feelings.
Health professionals need to understand the emotional and social impact of the guilt dynamics between young women with type 1 diabetes and their mothers. Adequate and appropriate support can minimize the guilt feelings and enhance stability and quality of life for both mothers and their daughters, especially during major life transitions, such as motherhood.
本研究旨在探索和描述1型糖尿病年轻女性用于应对生活转变的策略。本文描述了母女之间内疚情绪动态通常如何运作，以及这些女性如何应对这种内疚情绪动态以在生活中创造稳定。
当孩子被诊断出患有糖尿病时，母亲与孩子之间的关系会发生重大的转变。这些变化影响她们生活的心理和社会层面，并对年轻女性管理自身糖尿病的方式产生重大影响。在一项关于1型糖尿病年轻女性如何应对生活转变的大型研究中，母女之间的内疚情绪动态成为一个主要主题。尽管文献表明慢性病患儿的母亲会对孩子产生内疚感，但几乎没有研究涉及糖尿病母女之间的情感动态。
采用扎根理论方法，在2002年至2003年期间对20名1型糖尿病女性和5名母亲进行了访谈。运用持续比较分析法对数据进行分析，以深入了解在生活转变期间患糖尿病的经历。
结果显示，内疚感在患糖尿病的母女之间造成了双向依赖。这种双向依赖包括彼此成为负担的感觉、难以平衡糖尿病管理的责任、尤其在生活转变期间难以放弃情感和社会依赖。此外，这些问题很少在彼此之间或与健康专业人员公开讨论。这些发现为母女关系的人类体验以及在生活转变背景下对应对糖尿病的影响提供了更多信息。
了解糖尿病对1型糖尿病女性及其母亲的情感和社会福祉的影响，对于为这两个群体规划适当的支持至关重要。最重要的是，了解在1型糖尿病年轻女性生活转变期间运作的内疚情绪动态至关重要，此时女儿对母亲糖尿病管理控制和责任的依赖发生变化，从而引发情感反应，尤其是内疚感。
健康专业人员需要了解1型糖尿病年轻女性与其母亲之间内疚情绪动态的情感和社会影响。充分且适当的支持可以将内疚感降至最低，并提高母亲和女儿的稳定性及生活质量，尤其是在重大生活转变期间，如为人母阶段。
