Girling Laura M, Chard Sarah E, Eckert J Kevin
Department of Sociology, Anthropology, and Health Administration and Policy, Center for Aging Studies, University of Maryland, Baltimore County, MD, USA.
J Patient Exp. 2018 Sep;5(3):160-166. doi: 10.1177/2374373517745915. Epub 2017 Dec 14.
Contemporary treatment of type 2 diabetes mellitus (hereafter diabetes) heavily emphasizes "diabetes control," largely defined by measurable blood glucose parameters. Little is known about how people living with the condition themselves define diabetes control within the lived experience of their disease.
As part of a qualitative study investigating the subjective construction of diabetes, 83 in-depth interviews were conducted with African American and non-Hispanic white older adults. Using content analysis, 4237 pages of narrative data were analyzed to explore how informants conceptualized diabetes control.
Four themes emerged from the data, describing varied understandings of diabetes control: (a) blood sugar regulation, (b) practicable treatment adherence, (c) bodily experience, and (d) degree of pharmaceutical need. Findings demonstrate that among persons with diabetes, the term diabetes control is multifaceted.
While clinical guidelines have established target blood glucose parameters as the standard indicator of diabetes control, persons with diabetes conveyed varied and diverse meanings situated within personal experiences. To foster empathetic and collaborative care, health-care providers tending to this population may consider integrating the emergent themes into communicative and treatment approaches.
2型糖尿病（以下简称糖尿病）的现代治疗非常强调“糖尿病控制”，这在很大程度上由可测量的血糖参数来定义。对于糖尿病患者自身如何在其疾病的实际体验中定义糖尿病控制，我们知之甚少。
作为一项调查糖尿病主观构建的定性研究的一部分，我们对非裔美国人和非西班牙裔白人老年人进行了83次深入访谈。通过内容分析，对4237页的叙述性数据进行了分析，以探讨受访者如何理解糖尿病控制。
数据中出现了四个主题，描述了对糖尿病控制的不同理解：（a）血糖调节，（b）可行的治疗依从性，（c）身体体验，以及（d）药物需求程度。研究结果表明，在糖尿病患者中，“糖尿病控制”一词具有多方面的含义。
虽然临床指南已将目标血糖参数确立为糖尿病控制的标准指标，但糖尿病患者在个人经历中传达了各种各样的含义。为了促进共情和协作式护理，照顾这一人群的医疗保健提供者可考虑将新出现的主题纳入沟通和治疗方法中。
