Knutsen Ingrid Ruud, Foss I Christina, Todorova Elka, Roukova Poli, Kennedy Anne, Portillo Mari Carmen, Regaira Elena, Serrano-Gil Manuel, Lionis Christos, Angelaki Agapi, Rogers Anne
1 University of Oslo, Oslo, Norway.
2 University of World and National Economy, Sofia, Bulgaria.
Qual Health Res. 2017 Feb;27(3):299-310. doi: 10.1177/1049732315610318. Epub 2016 Jul 9.
Food and diet are central aspects of diabetes self-management but the relevance of social networks for the way people are supported in their management of type 2 diabetes is often under-acknowledged. In this article, we aimed to explore the coalescences between these two phenomena among people with type 2 diabetes to increase knowledge of interactions within social network related to daily diet. The article is based on 125 qualitative interviews with individuals with type 2 diabetes from five European countries. Based on assumptions that people with chronic illnesses reshape relationships through negotiation, we analyzed negotiations of food at different levels of network. The respondents' reflections indicate that there are complex negotiations that influence self-management and food, including support, knowledge, and relationships within families; attention and openness in social situations; and the premises and norms of society.
食物和饮食是糖尿病自我管理的核心方面,但社交网络对人们管理2型糖尿病方式的支持作用往往未得到充分认识。在本文中,我们旨在探讨2型糖尿病患者中这两种现象之间的融合,以增进对与日常饮食相关的社交网络内互动的了解。本文基于对来自五个欧洲国家的125名2型糖尿病患者进行的定性访谈。基于慢性病患者通过协商重塑关系的假设,我们分析了不同网络层面上关于食物的协商。受访者的反馈表明,存在影响自我管理和饮食的复杂协商,包括家庭内部的支持、知识和关系;社交场合中的关注和开放性;以及社会的前提和规范。