Saylor Jennifer, Hanna Kathleen M, Calamaro Christina J
University of Delaware, School of Nursing, DE, USA.
University of Nebraska Medical Center, College of Nursing, NE, USA.
J Pediatr Nurs. 2019 Jan-Feb;44:74-80. doi: 10.1016/j.pedn.2018.10.020. Epub 2018 Nov 7.
To gain insight and understanding of emerging adult experiences after a diagnosed with type 1 diabetes mellitus (T1DM) and prior to or during college life experiences.
A qualitative research design using a focus group was conducted with 12 college students recently diagnosed with T1DM during emerging adulthood. The focus group took place during a College Diabetes Network retreat. Using Braun and Clarke's six phase process, two researchers independently conducted a thematic analysis from the transcribed, verbatim audiotaped narratives.
The 12 participants attended colleges in 11 different states. The mean age was 21 years (SD = 6.3) and the majority were female (n = 7). Qualitative analysis revealed four themes: 1) diabetes affects all aspects of life and complicates college living; 2) college environment affects diabetes management; 3) diabetes diagnosis facilitates growth and maturity; and 4) strategies used for diabetes management in college.
T1DM is complex to manage in the college environment. However, these emerging adults newly diagnosed with T1DM highlight strategies for diabetes management while in college and the pivotal role of pediatric providers play in the successful management of T1DM.
Diabetes education for emerging adults in college requires an adaptive focus that supports the developmental needs of this population. Nurses should focus on teaching healthy, modifiable behaviors of sleep, physical activity, and nutrition to improve glycemic control as well as adapting to the college life choices.
深入了解和认识初显成年期被诊断为1型糖尿病（T1DM）后、以及在大学生活经历之前或期间的初显成年期经历。
采用焦点小组的定性研究设计，对12名在初显成年期最近被诊断为T1DM的大学生进行了研究。焦点小组在大学糖尿病网络务虚会上进行。两名研究人员使用布劳恩和克拉克的六个阶段过程，对转录的逐字录音叙述进行了独立的主题分析。
12名参与者就读于11个不同州的大学。平均年龄为21岁（标准差=6.3），大多数为女性（n=7）。定性分析揭示了四个主题：1）糖尿病影响生活的各个方面，使大学生活复杂化；2）大学环境影响糖尿病管理；3）糖尿病诊断促进成长和成熟；4）在大学中用于糖尿病管理的策略。
在大学环境中管理T1DM很复杂。然而，这些新诊断为T1DM的初显成年人强调了在大学期间糖尿病管理的策略，以及儿科提供者在T1DM成功管理中所起的关键作用。
对大学初显成年人的糖尿病教育需要一种适应性的重点，以支持该人群的发展需求。护士应专注于教授健康的、可改变的睡眠、体育活动和营养行为，以改善血糖控制，并适应大学生活选择。
