Brown Judith Belle, Reichert Sonja M, Valliere Yashoda, Webster-Bogaert Susan, Ratzki-Leewing Alexandria, Ryan Bridget L, Harris Stewart B
Centre for Studies in Family Medicine, Department of Family Medicine, Schulich School of Medicine & Dentistry, Western University, London, Ontario, Canada.
School of Social Work, King's University College, Western University, London, Ontario, Canada.
Diabetes Spectr. 2019 Aug;32(3):270-276. doi: 10.2337/ds18-0074.
Hypoglycemia is one of the most common adverse events for people living with type 1 or type 2 diabetes. To gain a deeper understanding of patients' emotions regarding hypoglycemia, we conducted a descriptive qualitative study. Purposive sampling was used to recruit participants for a 30- to 45-minute semi-structured interview. The 16 participants included both women and men with either type 1 or type 2 diabetes, with a mean age of 53 years and mean time since diagnosis of 21 years. All participants had experienced more than one hypoglycemia event in the past year, ranging from nonsevere to severe. Data collection and analysis occurred in an iterative manner. Individual and team analyses of interviews were conducted to identify overarching themes and sub-themes. Thematic analysis revealed the unique interconnection among the emotions experienced by participants, including fear, anxiety, frustration, confidence, and hope. Time, experience, and reflection helped to build participants' confidence in their ability to manage a hypoglycemia event. Patients' emotions regarding hypoglycemia provide valuable insights into life with diabetes. Although hypoglycemia continues to evoke feelings of fear and anxiety, the role of hope may temper these emotions. Understanding the complex interplay of emotions concerning hypoglycemia can guide health care providers in improving clinical practice and promoting patient-centered interventions. Ultimately, health care providers can build patients' hypoglycemia-related confidence by using a strengths-based approach.
低血糖是1型或2型糖尿病患者最常见的不良事件之一。为了更深入地了解患者对低血糖的情绪，我们进行了一项描述性定性研究。采用目的抽样法招募参与者进行30至45分钟的半结构化访谈。16名参与者包括患有1型或2型糖尿病的男性和女性，平均年龄为53岁，自确诊以来的平均时间为21年。所有参与者在过去一年中都经历过不止一次低血糖事件，从非严重到严重程度不等。数据收集和分析以迭代方式进行。对访谈进行了个人和团队分析，以确定总体主题和子主题。主题分析揭示了参与者所经历的情绪之间独特的相互联系，包括恐惧、焦虑、沮丧、信心和希望。时间、经验和反思有助于增强参与者应对低血糖事件的信心。患者对低血糖的情绪为了解糖尿病患者的生活提供了宝贵的见解。虽然低血糖仍然会引发恐惧和焦虑情绪，但希望的作用可能会缓和这些情绪。了解与低血糖相关的复杂情绪相互作用可以指导医疗保健提供者改进临床实践并促进以患者为中心的干预措施。最终，医疗保健提供者可以通过采用基于优势的方法来增强患者与低血糖相关的信心。
