Pienaar Melanie A, Reid Marianne
School of Nursing, Faculty of Health Sciences, University of Free State, Bloemfontein, South Africa.
Health SA. 2021 Jan 27;26:1512. doi: 10.4102/hsag.v26i0.1512. eCollection 2021.
Self-management is the backbone of diabetes care. For the patient with type 2 diabetes, this implies making decisions about a healthy diet, regular exercise and taking treatment appropriately. Some patients may experience barriers to the self-management of diabetes, such as lack of support. In this respect, peer support has been identified as a promising strategy in the self-management of diabetes.
The study aimed to explore the experiences of adults with type 2 diabetes who took part in a diabetes peer support intervention in the Free State, South Africa. Such information may lead to the development of practical methods for diabetes self-management and control.
Twelve purposively sampled Sesotho-speaking women (aged 51-84 years) participated in the Mmogo-method®, a visual-based narrative enquiry. Textual data from audio recordings of discussions, visual data from photographs of constructions and field notes were triangulated and analysed thematically.
Participants described the peer support intervention as very valuable. They regarded community health workers as an important source of support. Three themes emerged from the intervention: positive lifestyle changes, continuous support, and improved confidence and sense of connectedness. This was a significant finding reported in patients with diabetes, as it will contribute to successfully sustaining effective self-management behaviour.
Peer support for patients with type 2 diabetes appeared to be a valued intervention, as participants related well to community health workers, who are ideally positioned in the healthcare system to provide the service.
自我管理是糖尿病护理的核心。对于2型糖尿病患者而言，这意味着要在健康饮食、定期锻炼以及合理治疗方面做出决策。一些患者在糖尿病自我管理方面可能会遇到障碍，比如缺乏支持。在这方面，同伴支持已被视为糖尿病自我管理中一种有前景的策略。
该研究旨在探索参与南非自由州糖尿病同伴支持干预项目的2型糖尿病成年患者的经历。此类信息可能会促成糖尿病自我管理与控制实用方法的开发。
12名经过目的抽样的讲塞索托语的女性（年龄在51 - 84岁之间）参与了“Mmogo方法”，这是一种基于视觉的叙事探究。来自讨论录音的文本数据、来自建构照片的视觉数据以及现场记录进行了三角互证，并进行了主题分析。
参与者将同伴支持干预描述为非常有价值。他们将社区卫生工作者视为重要的支持来源。干预产生了三个主题：积极的生活方式改变、持续的支持以及增强的信心和联系感。这是在糖尿病患者中报告的一项重要发现，因为它将有助于成功维持有效的自我管理行为。
对2型糖尿病患者的同伴支持似乎是一项有价值的干预措施，因为参与者与社区卫生工作者关系良好，而社区卫生工作者在医疗保健系统中处于理想位置来提供此项服务。
