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2 型糖尿病成人在 COVID-19 大流行期间的自我保健:定性解释性描述研究。

Self-Care of Adults with Type 2 Diabetes During the COVID-19 Pandemic: A Qualitative Interpretive Description Study.

机构信息

Department of Medicine and Surgery, University of Milano - Bicocca, Monza, Italy.

出版信息

Clin Nurs Res. 2023 Jan;32(1):73-83. doi: 10.1177/10547738221125991. Epub 2022 Oct 5.

Abstract

Due to coronavirus disease 2019 (COVID-19), diabetes services have been disrupted, causing difficulties for people with type 2 diabetes mellitus (T2DM), and understanding their experience could help improve diabetes care. Therefore, we used a qualitative interpretive description to explore the experience of self-care of adults with T2DM during the COVID-19 pandemic. Data were collected using semi-structured interviews and analyzed theoretically. The sample ( = 30) was composed of 7 females and 23 males, with a mean age of 69.9 years (60-77) and 19.4 mean years (3-40) of people living with T2DM. Our findings show reduced physical activity and increased smoking and alcohol consumption affected that self-care. Increased food consumption and stress eating, with greater stress and anxiety, caused worsening of glycemic values. Participants were able to contact healthcare professionals via eHealth or telephone. Others, even those with complications, were not able to receive care or advice. These results suggest that easier contact with health providers, continuous engagement, eHealth solutions, and formal peer support could help self-care in T2DM. Advanced nursing roles and services could solve many issues reported in this study during and after the pandemic.

摘要

由于 2019 年冠状病毒病(COVID-19),糖尿病服务受到了干扰,给 2 型糖尿病(T2DM)患者带来了困难,了解他们的经历有助于改善糖尿病护理。因此,我们使用定性解释性描述来探索 COVID-19 大流行期间成年 T2DM 患者的自我护理体验。使用半结构式访谈收集数据,并进行理论分析。样本(n=30)由 7 名女性和 23 名男性组成,平均年龄为 69.9 岁(60-77 岁),平均患有 T2DM 19.4 年(3-40 年)。研究结果显示,体力活动减少、吸烟和饮酒增加,影响了自我护理。食物摄入量增加和应激性进食,加上更大的压力和焦虑,导致血糖值恶化。参与者可以通过电子健康或电话联系医疗保健专业人员。其他人,即使有并发症,也无法获得护理或建议。这些结果表明,更容易与卫生提供者联系、持续参与、电子健康解决方案和正式的同伴支持,可以帮助 T2DM 患者进行自我护理。在大流行期间和之后,高级护理角色和服务可以解决本研究中报告的许多问题。

相似文献

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Control of type 2 diabetes mellitus during the COVID-19 pandemic.COVID-19 大流行期间 2 型糖尿病的控制。
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