Wolf Rachel A, Haw J Sonya, Martyn Kristy K, Kimble Laura P
Nell Hodgson Woodruff School of Nursing, Emory University, Atlanta, GA.
School of Medicine, Emory University, Atlanta, GA.
Clin Diabetes. 2022 Winter;41(1):90-101. doi: 10.2337/cd21-0075. Epub 2022 May 26.
The increasing number of emerging adults with diabetes (EAWD) being cared for in adult health care settings requires a better understanding of the needs of EAWD and their interactions with adult health care providers (HCPs). This article describes findings from interviews with endocrinologists and diabetes nurses from a safety-net health care system to investigate HCPs' perspectives regarding influences on EAWD self-management and HCP interactions with EAWD. HCPs frequently perceived lower EAWD engagement in diabetes management, which was complicated by barriers such as the emotional burden of diabetes, busy lives and multiple responsibilities, and limited access to resources; however, HCPs valued the role of information and communication at visits in tailoring care for EAWD. Measures to tailor care should address the psychosocial burden related to the life stage goals and priorities of EAWD, identification of resources for EAWD and HCPs, and further elucidation of effective self-management guidance and communication strategies to support EAWD in safety-net settings.
在成人医疗保健机构接受护理的患有糖尿病的新兴成年人（EAWD）数量不断增加，这就需要更好地了解EAWD的需求以及他们与成人医疗保健提供者（HCP）之间的互动。本文描述了对来自安全网医疗保健系统的内分泌学家和糖尿病护士进行访谈的结果，以调查HCP对影响EAWD自我管理的因素以及HCP与EAWD互动的看法。HCP经常察觉到EAWD在糖尿病管理方面的参与度较低，这因糖尿病带来的情感负担、忙碌的生活和多重责任以及获取资源有限等障碍而变得复杂；然而，HCP重视就诊时信息和沟通在为EAWD量身定制护理方面的作用。量身定制护理的措施应解决与EAWD生命阶段目标和优先事项相关的心理社会负担、为EAWD和HCP确定资源，以及进一步阐明有效的自我管理指导和沟通策略，以在安全网环境中支持EAWD。
