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一项探索成年2型糖尿病病情得到控制患者的糖尿病恢复力的定性研究。

A qualitative study exploring diabetes resilience among adults with regulated type 2 diabetes mellitus.

作者信息

Kusnanto Kusnanto, Arifin Hidayat, Widyawati Ika Yuni

机构信息

Faculty of Nursing, Universitas Airlangga, Surabaya, Indonesia.

Faculty of Nursing, Universitas Airlangga, Surabaya, Indonesia.

出版信息

Diabetes Metab Syndr. 2020 Nov-Dec;14(6):1681-1687. doi: 10.1016/j.dsx.2020.08.035. Epub 2020 Sep 3.

Abstract

BACKGROUND AND AIMS

Type 2 diabetes mellitus (T2DM) patients often experience unregulated blood glucose due to the lack of resilience. The aim of this study was to explore diabetes resilience among adults with regulated T2DM.

METHODS

This study used a qualitative case study design. A total of 15 participants with T2DM were recruited through snowball sampling. The study was conducted in four Health Primary Centers in Surabaya, Indonesia. The indicators of diabetes resilience were proper management of diet, activity, stress, and drugs. Interview guidelines were used to collect the data through in-depth interviews. The data were subjected to thematic analysis.

RESULTS

In this study, the results identified four themes, namely, resilient, support, benefits, and self-care agency. These themes were found among the participants with a resilient condition and regulated blood glucose.

CONCLUSIONS

Resilient, support, benefits, and self-care agency are the themes for achieving diabetes resilience by adults with T2DM. Policymakers and health workers need to consider health interventions for increasing the resilience of T2DM patients so that they can achieve a better glycemic control condition, and manage their diet, medication, activity and stress properly.

摘要

背景与目的

2型糖尿病(T2DM)患者常因缺乏适应能力而血糖失控。本研究旨在探讨血糖得到控制的成年T2DM患者的糖尿病适应能力。

方法

本研究采用定性案例研究设计。通过滚雪球抽样法共招募了15名T2DM患者。研究在印度尼西亚泗水的四个初级卫生保健中心进行。糖尿病适应能力的指标包括饮食、活动、压力和药物的合理管理。采用访谈指南通过深入访谈收集数据。对数据进行主题分析。

结果

本研究结果确定了四个主题,即适应能力、支持、益处和自我护理能力。这些主题在病情具有适应能力且血糖得到控制的参与者中被发现。

结论

适应能力、支持、益处和自我护理能力是血糖得到控制的成年T2DM患者实现糖尿病适应能力的主题。政策制定者和卫生工作者需要考虑采取健康干预措施,以提高T2DM患者的适应能力,使他们能够实现更好的血糖控制状况,并妥善管理饮食、用药、活动和压力。

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