Litchman Michelle L, Wawrzynski Sarah E, Allen Nancy A, Tracy Eunjin L, Kelly Caitlin S, Helgeson Vicki S, Berg Cynthia A
University of Utah College of Nursing, Salt Lake City, UT.
Utah Diabetes and Endocrinology Center, Salt Lake City, UT.
Diabetes Spectr. 2019 Aug;32(3):239-248. doi: 10.2337/ds18-0057.
The purpose of this study was to understand perceptions of diabetes management responsibilities and the impact of diabetes on day-to-day activities in older adulthood for individuals with type 1 diabetes and their spouses.
This qualitative content analysis used a constant-compare approach to analyze individual interviews conducted with older adults and their spouses. People with type 1 diabetes (PWD) and their spouses were interviewed regarding how they coped or dealt with diabetes, what activities they carried out or avoided because of diabetes, and how they appraised diabetes as an individual or shared problem.
Participants ( = 52) included 26 older adults with diabetes (mean age 69 years, SD 2.56 years; 38.5% female) and their spouses (mean age 68 years, SD 5.11 years; 61.5% female). Half of the PWD (50%) and the majority of spouses (76.9%) appraised diabetes as a shared issue. Five themes emerged from the interview data: ) Perceptions pf PWD of spouse involvement in diabetes care, 2) PWD underestimated the impact of diabetes on their spouse's daily lives, ) gendered nature of spouses supporting diabetes management, ) evolution of diabetes and the relationship across developmental time, and ) differences in diabetes management among couples.
Older adults with type 1 diabetes and their spouses have different perspectives regarding diabetes support and responsibility and may not always realize what support is being provided or needed to optimize effective diabetes management. Advancing age with or without diabetes complications may necessitate that spouses provide diabetes support. Diabetes management training for spouses would likely be helpful.
本研究旨在了解1型糖尿病患者及其配偶对糖尿病管理责任的看法，以及糖尿病对老年人日常生活的影响。
本定性内容分析采用持续比较法，对老年人及其配偶进行的个人访谈进行分析。对1型糖尿病患者（PWD）及其配偶进行访谈，了解他们如何应对糖尿病，因糖尿病而进行或避免的活动，以及他们如何将糖尿病视为个人问题或共同问题。
参与者（n = 52）包括26名老年糖尿病患者（平均年龄69岁，标准差2.56岁；38.5%为女性）及其配偶（平均年龄68岁，标准差5.11岁；61.5%为女性）。一半的糖尿病患者（50%）和大多数配偶（76.9%）将糖尿病视为共同问题。访谈数据中出现了五个主题：1）糖尿病患者对配偶参与糖尿病护理的看法，2）糖尿病患者低估了糖尿病对其配偶日常生活的影响，3）配偶支持糖尿病管理的性别差异，4）糖尿病的演变以及不同发展阶段的关系，5）夫妻间糖尿病管理的差异。
1型糖尿病老年患者及其配偶对糖尿病支持和责任有不同的看法，可能并不总是意识到为优化有效糖尿病管理需要提供或需要何种支持。无论是否有糖尿病并发症，随着年龄增长，配偶可能需要提供糖尿病支持。为配偶提供糖尿病管理培训可能会有所帮助。
