Boakye Michelle D S, Miyamoto Sheridan, Greenwood Deborah, Kraschnewski Jennifer, Van Haitsma Kimberly, Boltz Marie
Ross and Carol Nese College of Nursing, The Pennsylvania State University, University Park, PA.
College of Nursing, UT Health San Antonio, San Antonio, TX.
Diabetes Spectr. 2023 Summer;36(3):264-274. doi: 10.2337/ds22-0058. Epub 2023 Mar 20.
Seven self-care behaviors-healthy coping, healthy eating, being active, taking medication, monitoring, reducing risk, and problem-solving-are recommended for individuals with diabetes to achieve optimal health and quality of life. People newly diagnosed with type 2 diabetes may find it challenging to learn and properly incorporate all of these self-care behaviors into their life. This qualitative study explored the experiences and perceived immediate self-management and psychosocial support needs in individuals newly diagnosed with type 2 diabetes. Data analysis revealed the significant challenges individuals encounter after a type 2 diabetes diagnosis. Five main themes were identified: ) type 2 diabetes diagnosis competes with other complex life challenges, ) difficulty in performing behavior modification actions, ) lack of support, ) emergence of emotional and psychological issues, and ) need for planned individualized follow-up support after a type 2 diabetes diagnosis. This study revealed a gap in care after type 2 diabetes diagnosis. Individualized support is needed to assist people in moving successfully from diagnosis to being well equipped with the knowledge and skills necessary to properly manage the condition.
对于糖尿病患者，推荐七种自我护理行为——健康应对、健康饮食、积极运动、按时服药、自我监测、降低风险和解决问题，以实现最佳健康状态和生活质量。新诊断出2型糖尿病的患者可能会发现，学习并将所有这些自我护理行为妥善融入生活具有挑战性。这项定性研究探讨了新诊断出2型糖尿病的患者的经历以及他们对即时自我管理和心理社会支持的需求。数据分析揭示了个体在被诊断出2型糖尿病后所面临的重大挑战。确定了五个主要主题：（1）2型糖尿病诊断与其他复杂的生活挑战相互竞争；（2）行为改变行动执行困难；（3）缺乏支持；（4）出现情绪和心理问题；（5）2型糖尿病诊断后需要有计划的个性化后续支持。这项研究揭示了2型糖尿病诊断后的护理差距。需要个性化支持来帮助人们成功地从诊断过渡到充分掌握妥善管理病情所需的知识和技能。
