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工作中管理1型糖尿病——一项质性元综合研究

Managing type 1 diabetes at work - A qualitative meta-synthesis.

作者信息

Shiel Emma Victoria, Hemingway Steve, Sah Rajeeb Kumar, Burton Kim

机构信息

University of Huddersfield, School of Human and Health Sciences, Queensgate, Huddersfield HD1 3DH, United Kingdom; University of Manchester, Division of Nursing, Social Work, and Midwifery, Oxford Rd, Manchester M13 9PL, United Kingdom.

University of Huddersfield, School of Human and Health Sciences, Queensgate, Huddersfield HD1 3DH, United Kingdom.

出版信息

Prim Care Diabetes. 2025 Oct;19(5):426-433. doi: 10.1016/j.pcd.2025.06.009. Epub 2025 Jul 8.

Abstract

AIMS

To interpret the available qualitative research findings on people's experiences of managing type 1 diabetes at work.

METHODS

A qualitative meta-synthesis was conducted using constant comparative methods, reciprocal analysis, and a line of argument synthesis, which were expressed narratively.

RESULTS

The study included thirteen articles, revealing a complex relationship between type 1 diabetes and work. People with type one diabetes want minimal interference in their daily routines while balancing health and work responsibilities. The concept of 'containment' emerged as a key strategy, where self-management is integrated alongside work demands. However, this approach may inadvertently lead to psychosocial conflicts and detrimental health outcomes.

CONCLUSIONS

The findings highlight the importance of creating supportive and empowering workplaces to reduce the tensions between type one diabetes and work. Enabling people with type one diabetes to self-manage effectively while maintaining autonomy requires support that both fosters self-management and avoids isolation. This sort of supportive and empowering work environment for workers with type one diabetes could contribute to facilitating [re]entry and retention in the workforce. This synthesis adds to contemporary knowledge, particularly in qualitative areas, yet further study is needed to identify specific actions that can create more accommodating workplaces for people with type one diabetes.

摘要

目的

解读关于人们在工作中管理1型糖尿病经历的现有定性研究结果。

方法

采用持续比较法、交互分析和论证线合成法进行定性元分析,并以叙述形式呈现。

结果

该研究纳入了13篇文章,揭示了1型糖尿病与工作之间的复杂关系。1型糖尿病患者希望在平衡健康和工作职责的同时,尽量减少对其日常生活的干扰。“遏制”概念成为一项关键策略,即自我管理与工作需求相结合。然而,这种方法可能会无意中导致心理社会冲突和有害的健康结果。

结论

研究结果强调了营造支持性和赋权性工作场所的重要性,以减少1型糖尿病与工作之间的紧张关系。让1型糖尿病患者在保持自主性的同时能够有效自我管理,需要既能促进自我管理又能避免孤立的支持。这种为1型糖尿病患者提供支持和赋权的工作环境有助于促进他们重新进入并留在劳动力队伍中。本元分析丰富了当代知识,尤其是在定性领域,但仍需进一步研究以确定能够为1型糖尿病患者创造更包容工作场所的具体行动。

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