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成年早期 1 型糖尿病患者的生活体验:一项定性研究。

Living with type 1 diabetes mellitus in emerging adulthood: A qualitative study.

机构信息

Department of Human, Philosophical and Educational Sciences (DISUFF), University of Salerno, Fisciano, Italy.

Developmental Psychologist, Private Practice, Florence, Italy.

出版信息

Br J Health Psychol. 2022 Nov;27(4):1226-1240. doi: 10.1111/bjhp.12596. Epub 2022 May 19.

Abstract

OBJECTIVE

Few studies have investigated the impact of diabetes considering its effects on developmental tasks that are typical of emerging adulthood. The present study aimed to investigate how emerging adults with a chronic condition such as type 1 diabetes mellitus manage with this developmental phase.

METHODS

30 emerging adults diagnosed with diabetes (18-34 years, females = 19) took part in an autobiographical interview investigating their experience of dealing with type 1 diabetes. Narratives were analysed by means of a qualitative thematic analysis of an inductive type.

RESULTS

Thematic analysis pointed out five thematic areas strictly related to the tasks of emerging adulthood: the development of intimate relationships, university life, work and plans for the future, the achievement of individual autonomy, the construction of an adult identity and family planning. Every thematic area reported a number of subthemes related to specific difficulties experienced by participants in reaching their developmental tasks due to chronic disease. Emerged themes considered both negative and positive outcomes of living with type 1 diabetes mellitus in emerging adulthood, such as a personal growth related to identity development.

CONCLUSION

The authors discussed results considering complexities and resources associated with diabetes in the light of developmental tasks of emerging adulthood.

摘要

目的

很少有研究考虑糖尿病对新兴成年期典型发展任务的影响。本研究旨在调查患有 1 型糖尿病等慢性疾病的成年早期个体如何应对这一发展阶段。

方法

30 名被诊断患有糖尿病的成年早期个体(18-34 岁,女性=19)参加了一项自传体访谈,调查他们对 1 型糖尿病的应对经验。通过对归纳法的定性主题分析,对叙述进行了分析。

结果

主题分析指出了与成年早期任务密切相关的五个主题领域:亲密关系的发展、大学生活、工作和未来计划、个人自主的实现、成人身份的构建和家庭计划。每个主题领域都报告了一些与参与者因慢性疾病而难以完成发展任务相关的具体困难的子主题。出现的主题既考虑了成年早期患有 1 型糖尿病的负面结果,也考虑了个人成长与身份发展相关的积极结果。

结论

作者根据成年早期的发展任务,讨论了与糖尿病相关的复杂性和资源的结果。

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