Department of Nursing, Harbin Medical University (Daqing), Xinyang Road No. 39, Daqing, 163319, China.
BMC Public Health. 2024 May 31;24(1):1456. doi: 10.1186/s12889-024-18994-w.
As a chronic metabolic disease, diabetes poses a serious threat to human health and has become a major public health problem in China and worldwide. In 2020, 30% of Chinese people (aged ≥ 60 years) reported having diabetes mellitus. Moreover, individuals with diabetes living in rural areas face a significantly higher mortality risk compared to those in urban areas. In this study, we explored the inner experience of self-management behaviors in elderly patients with type 2 diabetes in rural areas to inform targeted interventions.
A phenomenological research design was used to explore the inner experience of self-management in rural elderly diabetes. Ten elderly diabetic patients were sampled from December 2022 to March 2023 in rural areas of Yangcheng County, Jincheng City, ShanXi Province, China. The seven-step Colaizzi phenomenological was used to analyze the interview data and generate themes.
Four themes emerged: "Insufficient self-management cognition", "Negative self-management attitude", "Slack self-management behavior", and "No time for self-management".
The level of self-management among elderly patients with type 2 diabetes in rural areas is low. Healthcare professionals should develop targeted interventions aimed at enhancing their cognitive levels, modifying their coping styles, and improving their self-management abilities to improve their quality of life.
糖尿病作为一种慢性代谢疾病，严重威胁着人类健康，已成为中、全球范围内的重大公共卫生问题。2020 年，30%的中国（≥60 岁）老年人患有糖尿病。此外，与城市地区相比，农村地区的糖尿病患者死亡率显著更高。本研究旨在探讨农村老年 2 型糖尿病患者自我管理行为的内在体验，为有针对性的干预提供信息。
采用现象学研究设计，探讨农村老年糖尿病患者自我管理的内在体验。2022 年 12 月至 2023 年 3 月，从山西省晋城市阳城县农村地区抽取 10 名老年糖尿病患者作为样本。采用七步 Colaizzi 现象学分析法对访谈数据进行分析并生成主题。
得出 4 个主题：“自我管理认知不足”、“消极的自我管理态度”、“自我管理行为松懈”和“没有时间进行自我管理”。
农村地区老年 2 型糖尿病患者的自我管理水平较低。医护人员应制定有针对性的干预措施，旨在提高他们的认知水平、改变他们的应对方式和提高自我管理能力，从而提高他们的生活质量。
