Cox S
Prof Care Mother Child. 1994 Jun-Jul;4(5):139-41.
Many people need to go through a period of emotional adjustment before they can accept their diabetes. Much skill, patience and understanding is needed from the health professional to help them through this process. Many diabetic people go through a pattern of emotional reactions which are similar to grief reactions. These include shock and disbelief, denial, anger, depression and withdrawal when they realise the diabetes will not go away, and mourning for the loss of a life-style that was comfortable, familiar, secure. They also feel the loss of indulging in things they once found pleasurable, and the loss of independence. Finally comes the stage of acceptance. The person's fears of developing long-term complications-going blind, having heart disease, developing gangrene and so on-need to be addressed fairly early on. Education about avoiding complications is important but may not be effective until the person has worked through feelings of fear and grief. To the health professional it may seem astonishing that the patient does not comply with the treatment and accept the good advice that is given, but these reactions can often be understood in the light of the emotional adjustments that are taking place. Knowledge alone is not enough. Although health professionals need to give patients information and advice, they also need to help them express their feelings and provide emotional support during the adjustment process.
许多人在接受自己患有糖尿病之前需要经历一段情绪调整期。健康专业人员需要具备很多技巧、耐心和理解，以帮助他们度过这个过程。许多糖尿病患者会经历一系列类似于悲伤反应的情绪反应。这些反应包括震惊和怀疑、否认、愤怒、沮丧以及当他们意识到糖尿病无法治愈时的回避心理，还包括对失去舒适、熟悉、安稳的生活方式的哀伤。他们也会感到失去了曾经享受的事物，以及失去了独立性。最后进入接受阶段。患者对出现长期并发症（如失明、心脏病、坏疽等）的恐惧需要在早期就得到解决。关于避免并发症的教育很重要，但在患者克服恐惧和悲伤情绪之前可能并不有效。对于健康专业人员来说，患者不遵守治疗方案并接受所给予的良好建议可能看起来令人惊讶，但根据正在发生的情绪调整，这些反应通常是可以理解的。仅有知识是不够的。虽然健康专业人员需要向患者提供信息和建议，但他们还需要帮助患者表达情感，并在调整过程中提供情感支持。
