Department of Nursing, Department of Public Health and Clinical Medicine, Family Medicine, Umeå University, Umeå, Sweden.
Department of Nursing, Umeå University, Umeå, Sweden.
Int J Qual Stud Health Well-being. 2024 Dec;19(1):2294512. doi: 10.1080/17482631.2023.2294512. Epub 2023 Dec 19.
To describe the process of becoming aware of and acting on personal cardiovascular (CVD) risk in type 2 diabetes (T2D).
A purposive sample of 14 persons living with T2D participated in semi-structured, open-ended, in-dept interviews. The interviews were analysed with grounded theory.
The analysis identified the core category "Balancing emotions, integrating knowledge and understanding to achieve risk awareness and act on it." Five categories describe the movement from not being aware of the risk of cardiovascular disease (CVD) to becoming aware of this risk and taking action to reduce it. Persons with T2D need to transform their knowledge and experience of CVD risk and incorporate it in their individual situations. Emotional and existential experiences of CVD risk can lead to awareness about the severity of the condition and contribute to increased motivation for self-management. However, an overly high emotional response can be overwhelming and may result in insufficient self-management.
Persons with T2D seemed not to fully grasp their increased risk of CVD or recognize that self-management activities were aimed at reducing this risk. However, their awareness of CVD risk gradually increased as they came to understand the severity of T2D and became more emotionally and existentially engaged.
描述 2 型糖尿病（T2D）患者意识到并针对自身心血管（CVD）风险采取行动的过程。
对 14 名患有 T2D 的患者进行了半结构式、开放式深入访谈。使用扎根理论对访谈进行分析。
分析确定了核心类别“平衡情绪、整合知识和理解以实现风险意识并采取行动”。五个类别描述了从不了解 CVD 风险到意识到这种风险并采取行动来降低风险的过程。T2D 患者需要改变他们对 CVD 风险的知识和经验，并将其融入到个人情况中。对 CVD 风险的情感和存在体验会导致对病情严重程度的认识，并增加自我管理的动力。然而，过高的情绪反应可能会让人不知所措，从而导致自我管理不足。
T2D 患者似乎没有充分意识到自己 CVD 风险的增加，也没有认识到自我管理活动旨在降低这种风险。然而，随着他们逐渐了解 T2D 的严重程度，并在情感和存在方面更加投入，他们对 CVD 风险的认识逐渐增强。
