Lin Keke, Wang Jing, Bai Xiaoyan, Liu Yu
School of Nursing, Beijing University of Chinese Medicine, Beijing, China.
Heliyon. 2024 Aug 13;10(16):e36261. doi: 10.1016/j.heliyon.2024.e36261. eCollection 2024 Aug 30.
To identify the defining attributes, antecedents, consequences and empirical referents to form an operational definition of social isolation in people with type 2 diabetes.
The Walker and Avant approach.
An electronic search of the literature using China National Knowledge Infrastructure (CNKI), Wanfang database, PubMed, Web of Science, CINAHL, and PsycINFO informed the analysis. The search included both quantitative and qualitative studies related to social isolation in people with type 2 diabetes published in Chinese and English.
Of the 2918 articles identified, 21 ultimately met the inclusion criteria. The analysis identified the defining attributes of social isolation in people with type 2 diabetes as objective and subjective. Antecedents included five aspects: personal characteristics, disease-related physiological factors, and psychological, behavioral, and social factors. Consequences were identified as physiological, psychological, behavioral aspects and quality of life.
The operational definition of social isolation in people with type 2 diabetes is that due to personal characteristics, disease-related physiological factors, and psychological, behavioral, and social factors, people with type 2 diabetes will have limited social networks and social support, reduced social contact and social involvement, and/or negative feelings of disconnection from the outside world, which lead to adverse physiological, psychological, and behavioral outcomes and poor quality of life. Clinicians can further develop tools to measure social isolation in people with type 2 diabetes and analyze the path of the antecedents to social isolation to investigate the interplay between them in order to develop target interventions.
确定2型糖尿病患者社会隔离的定义属性、 antecedents、后果和实证指标，以形成社会隔离的操作性定义。
采用沃克和阿凡特方法。
通过中国知网（CNKI）、万方数据库、PubMed、科学网、CINAHL和PsycINFO对文献进行电子检索，为分析提供信息。检索包括中英文发表的与2型糖尿病患者社会隔离相关的定量和定性研究。
在识别出的2918篇文章中，最终有21篇符合纳入标准。分析确定2型糖尿病患者社会隔离的定义属性为客观和主观。Antecedents包括五个方面：个人特征、疾病相关生理因素以及心理、行为和社会因素。后果被确定为生理、心理、行为方面和生活质量。
2型糖尿病患者社会隔离的操作性定义是，由于个人特征、疾病相关生理因素以及心理、行为和社会因素，2型糖尿病患者的社交网络和社会支持有限，社会接触和社会参与减少，和/或产生与外界脱节的负面情绪，从而导致不良的生理、心理和行为后果以及生活质量差。临床医生可以进一步开发工具来测量2型糖尿病患者的社会隔离情况，并分析社会隔离的antecedents路径，以研究它们之间的相互作用，从而制定有针对性的干预措施。
