Brorsson Anna Lena, Lindholm Olinder Anna, Viklund Gunnel, Granström Therese, Leksell Janeth
Department of Women's and Children's Health, Karolinska Institutet and Karolinska University Hospital, Stockholm, Sweden.
School of Education, Health and Social Studies, Högskolan Dalarna, Falun, Sweden.
BMJ Open Diabetes Res Care. 2017 Nov 26;5(1):e000432. doi: 10.1136/bmjdrc-2017-000432. eCollection 2017.
Guided Self-Determination (GSD) is a person-centered communication and reflection method. Education in groups may have a greater impact than the content of the education, and constructive communication between parents and adolescents has been shown to be of importance. The purpose of this study was to describe adolescents' perceptions of participation in group education with the Guided Self-Determination-Young (GSD-Y) method, together with parents, in connection with the introduction of continuous subcutaneous insulin infusion.
In the present qualitative interview study, 13 adolescents with type 1 diabetes were included after completing a GSD-Y group education program in connection with the introduction of continuous subcutaneous insulin infusion at three hospitals located in central Sweden. The adolescents were interviewed individually, and qualitative content analysis was applied to the interview transcripts.
Two categories that emerged from the analysis were the importance of context and growing in power through the group process. An overarching theme that emerged from the interviews was the importance of expert and referent power in growing awareness of the importance of self-management as well as mitigating the loneliness of diabetes.
GSD-Y has, in various ways, mitigated experiences of loneliness and contributed to conscious reflection about self-management in the group (referent power) together with the group leader (expert power). Overall, this highlights the benefits of group education, and the GSD method emphasizes the person-centered approach.
ISRCTN22444034; Results.
引导式自主决定（GSD）是一种以个人为中心的沟通与反思方法。小组教育可能比教育内容产生更大的影响，并且已证明父母与青少年之间的建设性沟通很重要。本研究的目的是描述青少年对与父母一起采用青少年引导式自主决定（GSD-Y）方法参与小组教育的看法，该教育与持续皮下胰岛素输注的引入相关。
在本定性访谈研究中，瑞典中部三家医院在引入持续皮下胰岛素输注时，13名1型糖尿病青少年在完成GSD-Y小组教育项目后被纳入研究。对青少年进行单独访谈，并对访谈记录应用定性内容分析。
分析得出的两类结果是背景的重要性以及通过小组过程增强力量。访谈中出现的一个总体主题是专家权力和参照权力在提高自我管理重要性的认识以及减轻糖尿病孤独感方面的重要性。
GSD-Y以多种方式减轻了孤独感，并有助于在小组中（参照权力）以及与小组领导者（专家权力）一起对自我管理进行有意识的反思。总体而言，这突出了小组教育的益处，并且GSD方法强调以个人为中心的方法。
ISRCTN22444034；结果。
