Indiana University School of Medicine, USA.
Indiana University School of Medicine, USA.
Diabetes Res Clin Pract. 2019 Apr;150:211-218. doi: 10.1016/j.diabres.2019.03.018. Epub 2019 Mar 14.
Diabetes-related distress stemming from the burden of managing diabetes has been measured in multiple patient populations; however, the medical management of diabetes also presents unique challenges for health care providers. The purpose of this study was to conduct a qualitative evaluation of the experiences of healthcare providers in caring for people with diabetes (PWD).
Interviews and focus groups were conducted in a sample of 22 healthcare providers. Participants were drawn from medical residency and fellowship programs, diabetes healthcare provider networks and professional organizations. Participants were queried about their experiences working with PWD.
Themes were extracted and discussed by the investigator team until consensus was reached. Themes included: adherence (frustration that patients don't follow recommendations), emotions associated with treating PWDs (frustration with redundancy of treatment topics, overwhelmed by social needs of patients, worry for patient outcomes), fatigue (emotionally and physically worn-out), role definition (role as supporter and perceived responsibility for medical outcomes), and work environment (limitations of time or resources to provide care).
Diabetes related distress was described as a component of the caregiving experience among health care providers who treat PWD. These data indicate an emotional impact that warrants further investigation and intervention.
源于管理糖尿病负担的糖尿病相关困扰已在多个患者群体中进行了测量;然而,糖尿病的医疗管理也给医疗保健提供者带来了独特的挑战。本研究的目的是对医疗保健提供者照顾糖尿病患者(PWD)的经验进行定性评估。
在 22 名医疗保健提供者的样本中进行了访谈和焦点小组。参与者来自医学住院医师和研究员计划、糖尿病医疗保健提供者网络和专业组织。询问参与者与 PWD 合作的经验。
通过调查员团队提取并讨论主题,直到达成共识。主题包括:依从性(患者不遵守建议的挫败感)、与治疗 PWD 相关的情绪(对治疗主题的重复感到沮丧,被患者的社会需求压得喘不过气来,对患者的结果感到担忧)、疲劳(身心疲惫)、角色定义(支持者的角色和对医疗结果的感知责任)和工作环境(提供护理的时间或资源有限)。
糖尿病相关困扰被描述为治疗 PWD 的医疗保健提供者的护理体验的一个组成部分。这些数据表明存在需要进一步调查和干预的情绪影响。