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在不断变化的行动空间中存在冲突的逻辑:与工作生活中的 1 型糖尿病相关的挑战。

Conflicting Logics in a Changing Action Space: Challenges Related to Type 1 Diabetes in Work Life.

机构信息

Steno Diabetes Center Copenhagen, Gentofte, Denmark.

University of Copenhagen, København K, Denmark.

出版信息

Qual Health Res. 2021 Jun;31(7):1247-1259. doi: 10.1177/10497323211001857. Epub 2021 Mar 26.

Abstract

Well-being at work is important to quality of life. However, reconciling work and diabetes management is often challenging; failing to do so threatens the well-being of people with type 1 diabetes (T1D). We explored the mechanisms underlying diabetes-specific challenges at work using theories of logics, involvement, and action space. Thematic analyses of two data sets, consisting of interviews with adults with T1D ( = 22) showed that people with T1D experience a conflict between two logics linked to diabetes and work, owing to the contradictory demands of work life and diabetes management. Individuals' ability to lower the priority of work tasks-shifting them from their main to a side involvement so as to properly manage T1D-helps resolve the conflict, as does being able to create an enabling action space for diabetes management at work. These insights can inform interventions targeting the well-being of workers with T1D.

摘要

工作幸福感对生活质量很重要。然而,协调工作和糖尿病管理常常具有挑战性;如果做不到这一点,会威胁到 1 型糖尿病(T1D)患者的幸福感。我们使用逻辑、投入和行动空间的理论,探究了工作中与糖尿病相关的具体挑战背后的机制。对两个数据集的主题分析,包括对 22 名 T1D 成年人的访谈,表明 T1D 患者在与糖尿病和工作相关的两种逻辑之间存在冲突,这是由于工作生活和糖尿病管理的需求相互矛盾。个人降低工作任务优先级的能力——将其从主要投入转移到次要投入,以便正确管理 T1D——有助于解决冲突,能够在工作中为糖尿病管理创造有利的行动空间也是如此。这些见解可以为针对 T1D 患者幸福感的干预措施提供信息。

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