Lewinski Allison A, Shapiro Abigail, Crowley Matthew J, Whitfield Chelsea, Jones Joanne Roman, Jeffreys Amy S, Coffman Cynthia J, Howard Teresa, McConnell Eleanor, Tanabe Paula, Barcinas Susan, Bosworth Hayden B
Durham Center of Innovation to Accelerate Discovery and Practice Transformation Durham Veterans Health Care System, Durham, NC, USA.
Duke University School of Nursing, Durham, NC, USA.
J Health Psychol. 2024 Dec;29(14):1593-1607. doi: 10.1177/13591053241233387. Epub 2024 Feb 21.
Diabetes distress (DD) is a negative psychosocial response to living with type 2 diabetes mellitus (T2DM). We sought insight into Veterans' experiences with DD in the context of T2DM self-management. The four domains in the Diabetes Distress Scale (i.e. regimen, emotional, interpersonal, healthcare provider) informed the interview guide and analysis (structural coding using thematic analysis). The mean age of the cohort ( = 36) was 59.1 years (SD 10.4); 8.3% of patients were female and 63.9% were Black or Mixed Race; mean A1C was 8.8% (SD 2.0); and mean DDS score was 2.4 (SD 1.1), indicating moderate distress. Veterans described DD and challenges to T2DM self-management across the four domains in the Diabetes Distress Scale. We found that (1) Veterans' challenges with their T2DM self-management routines influenced DD and (2) Veterans experienced DD across a wide range of domains, indicating that clinical interventions should take a "whole-person" approach. NCT04587336.
糖尿病困扰（DD）是对2型糖尿病（T2DM）患者生活的一种负面社会心理反应。我们试图深入了解退伍军人在T2DM自我管理背景下的糖尿病困扰经历。糖尿病困扰量表的四个领域（即治疗方案、情绪、人际关系、医疗服务提供者）为访谈指南和分析提供了依据（使用主题分析进行结构编码）。该队列的平均年龄（n = 36）为59.1岁（标准差10.4）；8.3%的患者为女性，63.9%为黑人或混血人种；平均糖化血红蛋白（A1C）为8.8%（标准差2.0）；平均糖尿病困扰量表（DDS）得分为2.4（标准差1.1），表明存在中度困扰。退伍军人描述了糖尿病困扰量表四个领域中T2DM自我管理的挑战。我们发现：（1）退伍军人T2DM自我管理日常中的挑战影响了糖尿病困扰；（2）退伍军人在广泛的领域中经历了糖尿病困扰，这表明临床干预应采取“全人”方法。临床试验编号：NCT04587336。
