Ryninks Kirsty, Sutton Eileen, Thomas Elizabeth, Jago Russell, Shield Julian P H, Burren Christine P
Psychological Health Service, Bristol Royal Hospital for Children, University Hospitals Bristol NHS Foundation Trust, Upper Maudlin Street, Bristol, BS2 8BJ, United Kingdom.
NIHR Biomedical Research Unit in Nutrition, Diet & Lifestyle, University Hospitals Bristol NHS Foundation Trust, Education Centre, Upper Maudlin Street, Bristol, BS2 8AE, United Kingdom.
PLoS One. 2015 Oct 14;10(10):e0137562. doi: 10.1371/journal.pone.0137562. eCollection 2015.
To investigate young people's attitudes to, and understanding of, physical activity on glycaemic control in Type 1 Diabetes Mellitus.
Four focus groups with 11-14 and 15-16 year olds were conducted with twelve young people with Type 1 Diabetes, from within a larger study investigating physical activity and fitness. Qualitative analysis of the focus group data was performed using Interpretative Phenomenological Analysis.
Four superordinate themes were identified: Benefits of Exercise, Knowledge and Understanding, Information and Training and "You can do anything". Young people felt that exercising helped them to manage their diabetes and had a beneficial psychological and physical impact on their bodies. They reported a lack of knowledge and understanding about diabetes among school staff and other young people. The overwhelming sense from young people was that although diabetes impacts upon their lives, with preparation, physical activity can take place as normal.
Whilst young people had an awareness of the physical and psychological benefits of exercise in managing their diabetes, they experienced difficulties at school. Professional support and discussions with young people, giving tailored strategies for managing Type 1 Diabetes during exercise are needed. Healthcare teams should ensure that the support and educational needs of school staff are met. Providing more opportunities to empower young people to take on the responsibility for their Type 1 Diabetes care is merited. Young people felt diabetes did not stop them from participating in activities; it is simply a part of them that needs managing throughout life.
调查青少年对1型糖尿病患者体育活动对血糖控制的态度及理解。
在一项关于体育活动与健康的大型研究中，对12名1型糖尿病青少年（年龄在11 - 14岁和15 - 16岁之间）进行了四个焦点小组访谈。采用解释现象学分析法对焦点小组数据进行定性分析。
确定了四个上位主题：运动的益处、知识与理解、信息与培训以及“你能做任何事”。青少年认为运动有助于他们控制糖尿病，对其身体有有益的心理和生理影响。他们报告说学校工作人员和其他青少年对糖尿病缺乏了解。青少年普遍认为，尽管糖尿病影响他们的生活，但做好准备后，体育活动仍可正常进行。
虽然青少年意识到运动在控制糖尿病方面对身体和心理有益，但他们在学校遇到了困难。需要专业支持并与青少年进行讨论，提供在运动期间管理1型糖尿病的定制策略。医疗团队应确保满足学校工作人员的支持和教育需求。值得为青少年提供更多机会，使其能够承担起1型糖尿病护理的责任。青少年认为糖尿病并没有阻止他们参加活动；它只是他们生活中需要终生管理的一部分。
