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在一周内成为专家:儿童和家长在被诊断出 1 型糖尿病和接受糖尿病教育方面的经历 - 一项定性访谈研究。

To become an expert within a week: Children's and parents' experiences of the child being diagnosed with type 1 diabetes and receiving diabetes education - A qualitative interview study.

机构信息

Research Centre of Health and Applied Technology, University College Northern Denmark, Denmark.

Department of Nursing, University College Northern Denmark, Denmark.

出版信息

J Pediatr Nurs. 2022 Nov-Dec;67:e24-e30. doi: 10.1016/j.pedn.2022.10.004. Epub 2022 Oct 26.

Abstract

PURPOSE

To explore children's and parents' experiences of the child being diagnosed with type 1 diabetes and receiving diabetes education during hospitalisation.

DESIGN AND METHODS

A qualitative interpretive design was applied. Semi-structured interviews with 15 children and their parent(s) were conducted. Data were analysed via thematic analysis.

RESULTS

The analysis revealed three themes: To be diagnosed with diabetes turns one's world upside down; It is positive to meet friendly and helpful healthcare professionals; and Diabetes education is overwhelming but required.

CONCLUSIONS

To be hospitalised and receive a diabetes diagnosis is overwhelming. The family must learn, in a short time, the basic skills to manage the condition. While learning, the child may fluctuate between being active and passive. In this vulnerable situation, it is positive to meet helpful healthcare professionals. Children find the motivation to learn, as they want to self-manage and be independent. All necessary education is given, but often the families would like to be more actively involved in the teaching. Sometimes, the teaching is also very compressed.

PRACTICE IMPLICATIONS

It is important to be aware of the vulnerable situation of the family and to adjust education to the fluctuations of the child. Teaching should be simplified and broken down stepwise, using pictures, artefacts, etc., to support the learning. More involvement may make education even more engaging and interesting. It has to be considered whether the education can be compressed into too short a time, making it difficult to transfer to the everyday lives of the families.

摘要

目的

探讨儿童及其父母在住院期间被诊断为 1 型糖尿病和接受糖尿病教育的经历。

设计和方法

采用定性解释设计。对 15 名儿童及其父母进行半结构化访谈。通过主题分析对数据进行分析。

结果

分析显示出三个主题:被诊断患有糖尿病会颠覆一个人的世界;遇到友好和乐于助人的医护人员是积极的;糖尿病教育是压倒性的,但也是必需的。

结论

住院和接受糖尿病诊断是令人难以承受的。家庭必须在短时间内学习管理病情的基本技能。在学习的过程中,孩子可能会在积极和被动之间波动。在这种脆弱的情况下,遇到乐于助人的医护人员是积极的。孩子会找到学习的动力,因为他们希望自我管理并独立。所有必要的教育都提供了,但家庭通常希望更积极地参与教学。有时,教学也非常紧凑。

实践意义

了解家庭的脆弱处境并根据孩子的波动调整教育非常重要。教学应该简化并逐步分解,使用图片、实物等,以支持学习。更多的参与可能会使教育更加引人入胜和有趣。需要考虑教育是否可以压缩到太短的时间,从而使家庭难以将其应用于日常生活中。

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