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糖尿病倦怠及其与糖尿病困扰和抑郁症状的区别的新见解:一项定性研究。

New insights into diabetes burnout and its distinction from diabetes distress and depressive symptoms: A qualitative study.

机构信息

College of Nursing, University of Tennessee, 1200 Volunteer Blvd Rm 155, Knoxville, TN 37996, USA.

Department of Family and Community Medicine, University of California, 500 Parnassus Avenue, San Francisco, CA 94117, USA.

出版信息

Diabetes Res Clin Pract. 2020 Nov;169:108446. doi: 10.1016/j.diabres.2020.108446. Epub 2020 Sep 16.

Abstract

AIMS

This study aimed to corroborate the main hypotetized dimensions of diabetes burnout, and its distinction from diabetes distress and depressive symptoms among adults with type 1 diabetes (T1D).

METHODS

A qualitative descriptive study was employed to collect data from 31 eligible participants using semi-structured individual phone interviews. Participants were recruited through purposive sampling among a larger sample of adults with T1D in a previous study. Data was analyzed using qualitative content analysis including immersion, reduction, and interpretation.

RESULTS

Exhaustion and detachment were frequent manifestations of diabetes burnout that often accompanied by instances during which participants experienced a loss of control over diabetes. Whereas individuals' support systems could either help or hinder diabetes burnout. Participants saw burnout as separate but closely related to distress and depressive symptoms, with some suggesting correlations among burnout, distress, and depressive symptoms, while others expressed that distress caused their burnout and depressive symptoms.

CONCLUSIONS

Diabetes burnout reflects a significant yet unexplored concept which might explain the complexities of suboptimal self-management and poor diabetes outcomes. Emerging evidence suggesting diabetes burnout as a distinct concept calls for more studies to mitigate diabetes burnout as an obstacle to optimal diabetes care.

摘要

目的

本研究旨在证实糖尿病倦怠的主要假设维度,并将其与 1 型糖尿病(T1D)成人的糖尿病困扰和抑郁症状区分开来。

方法

采用定性描述性研究,通过半结构化的个人电话访谈从 31 名符合条件的参与者中收集数据。参与者是通过在之前的一项更大的 T1D 成人样本中进行目的性抽样招募的。使用定性内容分析对数据进行分析,包括沉浸、简化和解释。

结果

疲劳和疏离是糖尿病倦怠的常见表现形式,通常伴随着参与者对糖尿病失去控制的情况。而个体的支持系统可能会对糖尿病倦怠产生帮助或阻碍。参与者将倦怠视为独立但密切相关的困扰和抑郁症状,一些人暗示倦怠、困扰和抑郁症状之间存在相关性,而另一些人则表示困扰导致了倦怠和抑郁症状。

结论

糖尿病倦怠反映了一个尚未得到充分探索的重要概念,它可能解释了自我管理不佳和糖尿病不良结局的复杂性。越来越多的证据表明糖尿病倦怠是一个独特的概念,这呼吁开展更多的研究来减轻糖尿病倦怠作为优化糖尿病护理障碍的影响。

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