The "Ups and Downs" of Living With Type 2 Diabetes Among Working Adults in the Rural South.
The "Ups and Downs" of Living With Type 2 Diabetes Among Working Adults in the Rural South.
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DOI：
10.1177/21501319221143715
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发表时间：
2022-01
影响因子：
3.6
通讯作者：
Enriquez, Maithe
中科院分区：
文献类型：
--
作者：
Glenn, Lynn E. E.;Thurlow, Christine B. B.;Enriquez, Maithe
这项定性研究的目的是更好地了解农村工作成年人参与推荐的糖尿病预防保健服务的影响范围。此外，本研究试图了解影响农村工作成年人群糖尿病自我管理的独特因素。样本主要包括非裔美国人，低收入女性，自我报告患有糖尿病，他们在患者激活测量（PAM-10）中得分较低。半结构化访谈（N = 20）显示，大多数参与者与糖尿病患者生活的“唐斯”作斗争。数据中出现了四个主要主题：“斗争”，“一起做事”，“糖尿病不是优先事项”和“我们很幸运拥有我们所拥有的”。大多数参与者都在为健康的未来发展个人责任和动机，但却被自我管理的不一致、糖尿病困扰、缺乏有效的应对策略以及缺乏社会和经济资本所淹没。这项研究的结果表明，需要进一步解决农村工作成年人的心理健康问题，但农村人口往往缺乏足够的心理保健和正规的心理支持。心理支持和资源对于促进农村工作成年人参与糖尿病自我管理和预防保健服务至关重要。
The purpose of this qualitative study was to gain a better understanding of the spheres of influence on engagement in recommended diabetes preventive health services among rural, working adults. Additionally, this study sought to understand the unique factors that influence diabetes self-management among rural, working adult populations. The sample included mostly African-American, low-income females with self-reported diabetes, who scored low on the Patient Activation Measure (PAM-10). Semi-structured interviews (N = 20) revealed that most participants struggled with the “ups and downs” of living with diabetes. Four major themes emerged from the data: “the struggle,” “doing things together,” “diabetes is not the priority,” and “we’re lucky to have what we have.” Most participants were developing individual responsibility and motivation for a healthy future, but were overwhelmed by inconsistency in self-management, diabetes distress, lack of effective coping strategies, and lack of social and economic capital. The findings of this study indicate the need to further address psychological well-being among rural, working adults, yet rural populations often lack sufficient access to mental health care and formalized psychological support. Psychological support and resources are essential to facilitate engagement in diabetes self-management and preventive health services for rural, working adults.
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影响因子：
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作者：
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通讯作者：
de Courten B
影响因子：
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