Gillrell Charlotte, Hellman Peter, Axelsson Malin, Wennick Anne
Lindeborg Primary Care Centre, Region Skåne, Malmö, Sweden.
Faculty of Health and Society, Department of Care Science, Malmö University, Malmö, Sweden.
Sci Diabetes Self Manag Care. 2025 Aug;51(4):365-374. doi: 10.1177/26350106251361371. Epub 2025 Aug 5.
PurposeThe purpose of this study was to illuminate the lived experiences of lifelong learning in self-care from the perspective of adults diagnosed with type 1 diabetes in younger years.MethodsIn 2020 to 2021 a hermeneutic phenomenological study was conducted in Sweden based on individual conversational interviews. Participants in the study were 20 consecutively chosen adults diagnosed with type 1 diabetes, ages 25 to 75 years (median 44.5 years) and with an illness duration of 10 to 61 years (median 26 years), recruited purposively via social media.ResultsThe analysis of participants' lived experiences of lifelong learning in self-care generated the overall theme "making meaning of type 1 diabetes as a lifelong illness"; this process was constantly challenged or triggered by all other ongoing or occurring processes in the participants' everyday lives. More precisely, the participants likened this to having a ticket for a lifelong journey of personal learning, largely informal, characterized by a continuous reconstruction of one's understanding of the illness and the necessary self-care while having to acknowledge, understand, manage, and endure diabetes.ConclusionsStudy findings suggest that lifelong learning in diabetes self-care in everyday life means learning how to become and remain a lifelong learner in the trajectory of diabetes. Thus, continuously learning how to manage self-care in different situations throughout life helps those diagnosed with a lifelong illness to construct and reconstruct living with the illness into a meaningful life.
目的
本研究的目的是从年轻时被诊断为1型糖尿病的成年人的角度,阐明自我护理中终身学习的生活体验。
方法
2020年至2021年,在瑞典进行了一项基于个人访谈的诠释现象学研究。该研究的参与者是通过社交媒体有目的地招募的20名连续入选的成年人,年龄在25至75岁之间(中位数44.5岁),病程为10至61年(中位数26年),均被诊断为1型糖尿病。
结果
对参与者自我护理中终身学习的生活体验分析产生了总体主题“将1型糖尿病理解为一种终身疾病”;这一过程不断受到参与者日常生活中所有其他正在进行或发生的过程的挑战或触发。更确切地说,参与者将此比作拥有一张个人终身学习之旅的门票,这种学习很大程度上是非正式的,其特点是不断重新构建对疾病的理解以及在必须承认、理解、管理和忍受糖尿病的同时进行必要的自我护理。
结论
研究结果表明,日常生活中糖尿病自我护理的终身学习意味着学习如何在糖尿病的病程中成为并保持一名终身学习者。因此,在一生中不断学习如何在不同情况下管理自我护理,有助于那些被诊断患有终身疾病的人将与疾病共存构建和重建为有意义的生活。