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国内流离失所的糖尿病患者在冲突期间管理自身健康所面临的挑战:一项定性研究。

Challenges faced by internally displaced diabetes patients in managing their health during a conflict: a qualitative study.

作者信息

Shinan-Altman Shiri

机构信息

The Louis and Gabi Weisfeld School of Social Work, Bar-Ilan University, Ramat Gan, 5290002, Israel.

出版信息

Confl Health. 2024 Oct 16;18(1):60. doi: 10.1186/s13031-024-00625-1.

Abstract

BACKGROUND

This study examines the experiences of diabetic patients who were displaced during the Israel-Hamas conflict, highlighting the substantial challenges they face in managing their health under these circumstances.

METHODS

A qualitative-phenomenological approach was employed, focusing on the experiences of 14 individuals with diabetes who were displaced during the conflict. Data were collected through semi-structured interviews and subsequently subjected to content analysis.

RESULTS

Three central themes emerged: (1) "I left without clothes and medications": Participants described the chaotic evacuation process and the difficulty in maintaining diabetes care without their supplies. (2) "Dual coping": Participants struggled with managing their diabetes while adapting to new, temporary living conditions that disrupted their care routines. (3) Seeking inner resilience while drawing strength from external support: This theme reflected the importance of internal resilience and support from family, friends, and healthcare professionals in coping with health management and displacement challenges.

CONCLUSIONS

The study underscores the significant challenges diabetes patients face during conflict evacuation, including disruptions in their routine care, heightened psychological stress, and the essential role of support systems. These findings underscore the need for emergency preparedness plans to ensure continuity of care for patients with chronic conditions during crises.

摘要

背景

本研究考察了在以色列与哈马斯冲突期间流离失所的糖尿病患者的经历,突显了他们在这种情况下管理自身健康所面临的巨大挑战。

方法

采用定性现象学方法,重点关注14名在冲突期间流离失所的糖尿病患者的经历。通过半结构化访谈收集数据,随后进行内容分析。

结果

出现了三个核心主题:(1)“我没带衣服和药品就离开了”:参与者描述了混乱的撤离过程以及在没有所需用品的情况下维持糖尿病护理的困难。(2)“双重应对”:参与者在管理糖尿病的同时,还要适应打乱其护理常规的新的临时生活条件,为此而苦苦挣扎。(3)在从外部支持中汲取力量的同时寻求内心的复原力:这一主题反映了内心复原力以及家人、朋友和医疗保健专业人员的支持在应对健康管理和流离失所挑战方面的重要性。

结论

该研究强调了糖尿病患者在冲突撤离期间面临的重大挑战,包括日常护理中断、心理压力加剧以及支持系统的重要作用。这些发现强调了制定应急准备计划的必要性,以确保慢性病患者在危机期间能够持续接受护理。

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本文引用的文献

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Internally displaced people amidst war: the Israeli narrative.战争中的境内流离失所者:以色列的说法。
Lancet. 2023 Dec 2;402(10417):2071-2072. doi: 10.1016/S0140-6736(23)02521-7. Epub 2023 Nov 16.

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