Augusta University, Augusta, GA, USA.
Research College of Nursing, Kansas City, MO, USA.
J Prim Care Community Health. 2022 Jan-Dec;13:21501319221143715. doi: 10.1177/21501319221143715.
The purpose of this qualitative study was to gain a better understanding of the spheres of influence on engagement in recommended diabetes preventive health services among rural, working adults. Additionally, this study sought to understand the unique factors that influence diabetes self-management among rural, working adult populations. The sample included mostly African-American, low-income females with self-reported diabetes, who scored low on the Patient Activation Measure (PAM-10). Semi-structured interviews (N = 20) revealed that most participants struggled with the "ups and downs" of living with diabetes. Four major themes emerged from the data: "the struggle," "doing things together," "diabetes is not the priority," and "we're lucky to have what we have." Most participants were developing individual responsibility and motivation for a healthy future, but were overwhelmed by inconsistency in self-management, diabetes distress, lack of effective coping strategies, and lack of social and economic capital. The findings of this study indicate the need to further address psychological well-being among rural, working adults, yet rural populations often lack sufficient access to mental health care and formalized psychological support. Psychological support and resources are essential to facilitate engagement in diabetes self-management and preventive health services for rural, working adults.
本定性研究旨在深入了解影响农村劳动成年人群体参与推荐的糖尿病预防保健服务的因素。此外，本研究还旨在了解影响农村劳动成年人群体糖尿病自我管理的独特因素。该样本主要包括自我报告患有糖尿病的非裔美国低收入女性，她们的患者激活量表（PAM-10）得分较低。半结构化访谈（N=20）显示，大多数参与者都在努力应对糖尿病带来的“起起落落”。研究结果中出现了四个主要主题：“挣扎”、“共同努力”、“糖尿病不是首要问题”和“我们很幸运拥有我们所拥有的”。大多数参与者正在为健康的未来培养个人责任和动力，但他们被自我管理的不一致性、糖尿病困扰、缺乏有效的应对策略以及缺乏社会和经济资本所淹没。本研究的结果表明，需要进一步解决农村劳动成年人群体的心理健康问题，但农村人口往往缺乏足够的心理健康护理和正式的心理支持。心理支持和资源对于促进农村劳动成年人群体参与糖尿病自我管理和预防保健服务至关重要。
