Gender differences in social support for diabetes self-management: A qualitative study among veterans.
Gender differences in social support for diabetes self-management: A qualitative study among veterans.
复制标题
糖尿病自我管理社会支持的性别差异：退伍军人的定性研究。
DOI：
10.1016/j.pec.2022.107578
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发表时间：
2023
影响因子：
3.5
通讯作者：
Voils,CorrineI
中科院分区：
文献类型：
--
作者：
Gray,KristenE;Silvestrini,Molly;Ma,EricaW;Nelson,KarinM;Bastian,LoriA;Voils,CorrineI
目的描述社会支持在退伍军人糖尿病自我管理中的作用并检查性别差异。方法我们对来自退伍军人健康管理局医疗保健系统的患有糖尿病的退伍军人进行了半结构化访谈。参与者描述了支持人员如何影响他们的糖尿病自我管理以及对拟议的包含支持人员的自我管理计划的看法。我们使用主题分析来确定显着主题并检查性别差异。结果在 18 名女性和 18 名男性中，我们确定了四个主题：1）女性感到对自己的健康和照顾他人负责； 2) 男性共同承担管理糖尿病的责任，支持人员经常试图纠正行为（社会控制）； 3) 虽然男性和女性都描述了获得工具性和信息性社会支持，但主要是女性描述了情感支持； 4) 一些妇女的自我管理努力受到支持人员的阻碍。关于纳入支持人员的计划，一些参与者认可包括家人/朋友和一些首选计划，包括其他糖尿病患者。结论观察到自我管理的社会支持存在显着的性别差异，女性对自己的糖尿病和家人的需求承担责任，并经历人际障碍。实践意义支持人员在糖尿病自我管理中的作用的性别差异应该为基于支持的自我管理计划提供信息。
ObjectiveDescribe the role of social support in veterans’ diabetes self-management and examine gender differences.MethodsWe conducted semi-structured interviews among veterans with diabetes from one Veterans Health Administration Health Care System. Participants described how support persons influenced their diabetes self-management and perspectives on a proposed self-management program incorporating a support person. We used thematic analysis to identify salient themes and examine gender differences.ResultsAmong 18 women and 18 men, we identified four themes: 1) women felt responsible for their health and the care of others; 2) men shared responsibility for managing their diabetes, with support persons often attempting to correct behaviors (social control); 3) whereas both men and women described receiving instrumental and informational social support, primarily women described emotional support; and 4) some women’s self-management efforts were hindered by support persons. Regarding programs incorporating a support person, some participants endorsed including family/friends and some preferred programs including other individuals with diabetes.ConclusionsNotable gender differences in social support for self-management were observed, with women assuming responsibility for their diabetes and their family’s needs and experiencing interpersonal barriers.Practice implicationsGender differences in the role of support persons in diabetes self-management should inform support-based self-management programs.