Nell Hodgson Woodruff School of Nursing, Emory University, Atlanta, GA, USA.
School of Medicine, Emory University, Atlanta, GA, USA.
West J Nurs Res. 2023 Aug;45(8):680-687. doi: 10.1177/01939459231172587. Epub 2023 May 7.
Emerging adults with diabetes, particularly in underserved communities, represent a growing but less studied population whose needs may differ from older adults. This study investigated perspectives of underserved emerging adults regarding diabetes self-management influences and provider interactions. Focus groups and interviews with emerging adults in a safety-net health care setting were conducted to identify perspectives regarding self-management influences and patient-provider interactions. Diabetes was perceived as a psychological burden complicated by busy lifestyles and competing responsibilities. Lack of resources, especially financial barriers, also limited self-management. Participants often perceived diabetes visits as standardized encounters providing access to diabetes supplies but desired additional guidance appropriate to their needs and life-stage. Participants valued encouragement and positive ongoing provider relationships for tailored informational and emotional support and support from family and peers. Providers and health care systems adapting to provide or facilitate this support will be better able to optimize diabetes management at and between visits.
服务不足的青年成年糖尿病患者是一个日益增长但研究较少的群体，他们的需求可能与老年患者不同。本研究调查了服务不足的青年成年糖尿病患者对自我管理影响因素和医患互动的看法。在一个医疗保障体系中，对青年成年患者进行了焦点小组和访谈，以确定他们对自我管理影响因素和医患互动的看法。糖尿病被视为一种心理负担，其特点是生活忙碌、责任重大。缺乏资源，尤其是经济障碍，也限制了自我管理。参与者通常认为糖尿病就诊是一种标准化的就诊，能够获得糖尿病相关用品，但他们希望获得更符合自己需求和生活阶段的额外指导。参与者重视鼓励和积极的医患关系，以获得个性化的信息和情感支持，并获得家人和同龄人的支持。能够提供或促进这种支持的提供者和医疗保健系统将能够更好地优化就诊期间和就诊之间的糖尿病管理。
