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“我丢了注射器、胰岛素和血糖试纸。我失去了所有财物”:一项关于巴西南部老年人对前所未有的洪水的看法的定性研究,这些老年人患有2型糖尿病。

"I lost my syringes, my insulin, and my glucose test strips. I lost all my belongings": a qualitative study on the perspective of elderly individuals with type 2 diabetes regarding the unprecedented flooding in southern Brazil.

作者信息

Corrêa Bianca Gomes, Matzenbacher Lucas Strassburger, de Barros Laura Gomes Boabaid, Haussen Ana Gabriela Rodrigues, Perrone Mariana Kude, Gheno Vicenzo, Uchôa Helena Toniazzi, Cipolat Marcell Machado, da Costa Frederico Ludwig, Telo Gabriela Heiden

机构信息

Graduate program in Medicine and Health Sciences, Pontifícia Universidade Católica do Rio Grande do Sul, Porto Alegre, Brazil.

School of Medicine, Pontifícia Universidade Católica do Rio Grande do Sul, Porto Alegre, Brazil.

出版信息

Diabetol Metab Syndr. 2025 Jun 12;17(1):207. doi: 10.1186/s13098-024-01569-5.

DOI:10.1186/s13098-024-01569-5
PMID:40506766
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12160346/
Abstract

AIMS

To qualitatively evaluate the impact of the unprecedented floods that hit Brazil in 2024 on homes, personal life, daily routine, mental health, and diabetes care among elderly with diabetes.

METHODS AND RESULTS

This qualitative study included elderly individuals with type 2 diabetes. A structured interview was conducted to assess the impact of the floods on their lives. Inductive thematic content analysis with deductive coding was used to analyze the interview responses and present the overall findings. Fifty individuals (35 females and 15 males), with a mean age of 72.0 years, long diabetes duration, low socioeconomic level, and a high prevalence of psychiatric disorders were included. Thematic analysis revealed four major themes: (1) Emotional response; (2) Negative impact on health and self-care; (3) Material losses; (4) Feelings of community support and empathy. All participants reported negative impacts as a consequence of the disaster, affecting various aspects of their lives, including mental health, access to health care, medication shortages, barriers to diabetes management, and worsening of dietary and physical activity habits.

CONCLUSION

The unprecedented climate disaster that hits Brazil in 2024 had a profound impact on elderly individuals with diabetes, affecting not only material belongings but also their mental well-being and access to healthcare. These findings highlight the urgent need for targeted interventions and support systems to address the vulnerabilities of elderly populations with chronic conditions during climate-related disasters. The long-term consequences of such crises must be further studied to better prepare for and mitigate their impact on vulnerable communities.

摘要

目的

定性评估2024年袭击巴西的史无前例的洪水对糖尿病老年患者的家庭、个人生活、日常生活、心理健康和糖尿病护理的影响。

方法与结果

这项定性研究纳入了2型糖尿病老年个体。进行了结构化访谈以评估洪水对他们生活的影响。采用归纳主题内容分析和演绎编码来分析访谈回复并呈现总体结果。纳入了50名个体(35名女性和15名男性),平均年龄为72.0岁,糖尿病病程长,社会经济水平低,精神障碍患病率高。主题分析揭示了四个主要主题:(1)情绪反应;(2)对健康和自我护理的负面影响;(3)物质损失;(4)社区支持和同理心感受。所有参与者都报告称这场灾难带来了负面影响,影响了他们生活的各个方面,包括心理健康、获得医疗保健的机会、药物短缺、糖尿病管理的障碍以及饮食和身体活动习惯的恶化。

结论

2024年袭击巴西的史无前例的气候灾难对糖尿病老年个体产生了深远影响,不仅影响了物质财产,还影响了他们的心理健康和获得医疗保健的机会。这些发现凸显了迫切需要有针对性的干预措施和支持系统,以应对气候相关灾难期间慢性病老年人群体的脆弱性。必须进一步研究此类危机的长期后果,以便更好地为应对并减轻其对脆弱社区的影响做好准备。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1894/12160346/ae9c584e81b4/13098_2024_1569_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1894/12160346/ae9c584e81b4/13098_2024_1569_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1894/12160346/ae9c584e81b4/13098_2024_1569_Fig1_HTML.jpg

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