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糖尿病自我管理教育及支持干预后的照护者支持。

Care Partner Support Following a Diabetes Self-Management Education and Support Intervention.

机构信息

College of Nursing, University of Utah, Salt Lake City, Utah.

Department of Psychiatry, University of Pittsburgh, Pittsburgh, Pennsylvania.

出版信息

Sci Diabetes Self Manag Care. 2022 Aug;48(4):235-246. doi: 10.1177/26350106221099872. Epub 2022 Jun 4.

Abstract

PURPOSE

The purpose of the study was to understand care partner (CP) perceptions of an interdisciplinary diabetes self-management education and support (DSMES) intervention and explore how the interdisciplinary DSMES intervention influences diabetes-specific day-to-day interactions from the CP's perspective.

METHODS

A multiple-methods research design comprised of an online survey including demographics and supportive behaviors and a semistructured interview was conducted. The survey was completed by 16 CPs. Of the 16 CPs, 11 participated in semistructured interviews. Survey data were analyzed using descriptive statistics. Thematic analysis of semistructured interviews was conducted.

RESULTS

CPs provided support in 3 primary areas: (1) meal planning and preparation (87.5%), (2) participating in physical activity (56.3%), and (3) assisting with technology (43.8%). The main themes described by CPs include (1) the importance of diabetes education for caregivers, including the information they retained from the program, the acquisition of tools to support the person with diabetes, and the desire for more and ongoing education; (2) diabetes education enhances the CP's ability to provide social support and the challenges associated with support; and (3) partners described collaborative diabetes management such as finding middle ground and making changes together.

CONCLUSION

CPs play a significant role in patient diabetes self-management by providing social support and partnership. DSMES programs should seek to include CPs to enhance patient support.

摘要

目的

本研究旨在了解照护者(CP)对跨学科糖尿病自我管理教育和支持(DSMES)干预措施的看法,并从 CP 的角度探讨跨学科 DSMES 干预措施如何影响糖尿病患者特定的日常生活互动。

方法

采用多方法研究设计,包括在线调查(包括人口统计学和支持性行为)和半结构化访谈。共有 16 名 CP 完成了在线调查。在这 16 名 CP 中,有 11 名参加了半结构化访谈。使用描述性统计分析对调查数据进行分析。对半结构化访谈进行主题分析。

结果

CP 在 3 个主要领域提供支持:(1)膳食计划和准备(87.5%),(2)参与体育活动(56.3%),以及(3)协助使用技术(43.8%)。CP 描述的主要主题包括:(1)糖尿病教育对照护者的重要性,包括他们从项目中保留的信息、获取支持糖尿病患者的工具,以及对更多和持续教育的需求;(2)糖尿病教育提高了 CP 提供社会支持的能力以及支持相关的挑战;(3)合作伙伴描述了协作式糖尿病管理,例如寻找共同点并共同做出改变。

结论

CP 通过提供社会支持和伙伴关系,在患者糖尿病自我管理中发挥着重要作用。DSMES 项目应寻求包括 CP 在内,以增强对患者的支持。

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