Veterans' Experiences With Diabetes: A Qualitative Analysis
Veterans' Experiences With Diabetes: A Qualitative Analysis
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DOI：
10.1177/0145721720965498
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发表时间：
2020-12-01
影响因子：
3.9
通讯作者：
Rodriguez, Keri L.
中科院分区：
文献类型：
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作者：
DiNardo, Monica M.;Phares, Angela D.;Rodriguez, Keri L.
PurposeThe目的的研究是探讨糖尿病自我管理退伍军人糖尿病患者的心理社会行为的影响的理解。MethodsTwenty-six退伍军人参加了9个焦点小组，进行以下一组糖尿病自我管理教育类和前正念干预作为可行性试点研究的一部分。讨论以开放式问题为指导，这些问题解决了首要的研究问题，“糖尿病的态度和经验如何为糖尿病自我管理教育和护理退伍军人提供心理社会教育方法？“焦点小组进行了录音和转录。然后，数据被独立编码和主题分析2 coders.ResultsFive主要主题，反映退伍军人的看法，他们的经验与糖尿病和糖尿病自我管理被确定：（1）痛苦和负面情绪，（2）社会孤立，（3）感知缺乏控制，（4）对糖尿病支持的态度，和（5）对有关压力，糖尿病，健康信息的渴望，和behaviors.ConclusionsVeterans经验情绪困扰，并有未满足的心理社会需求与糖尿病自我管理。从这些经验丰富的观点中获得的见解表明，将心理教育干预措施（如正念）整合到糖尿病护理中的框架，强调减轻压力，以人为本的沟通和同伴支持的机会。
PurposeThe purpose of the study was to explore an understanding of the psychosocial-behavioral impact of diabetes self-management among veterans with diabetes.MethodsTwenty-six veterans participated in 1 of 9 focus groups that were conducted following a group diabetes self-management education class and prior to a mindfulness intervention as part of a feasibility pilot study. Discussions were guided by open-ended questions that addressed the overarching research question, "How do attitudes and experiences with diabetes inform psychosocial-educational approaches to diabetes self-management education and care for veterans?" Focus groups were audio-recorded and transcribed. The data was then independently coded and thematically analyzed by 2 coders.ResultsFive main themes that reflect veterans' perceptions of their experiences with diabetes and diabetes self-management were identified: (1) distress and negative emotions, (2) social isolation, (3) perceived lack of control, (4) attitudes toward diabetes support, and (5) desire for information about stress, diabetes, health, and behavior.ConclusionsVeterans experience emotional distress and have unmet psychosocial needs related to diabetes self-management. Insight gained from these veteran perspectives suggests a framework for integrating psycho-educational interventions like mindfulness into diabetes care that emphasize stress reduction, person-centered communication, and opportunities for peer support.