The psychological impact of living with diabetes - Women's day-to-day experiences
The psychological impact of living with diabetes - Women's day-to-day experiences
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DOI：
10.1177/0145721707304079
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发表时间：
2007-07-01
影响因子：
3.9
通讯作者：
Savoy, Suzanne
中科院分区：
文献类型：
--
作者：
Penckofer, Sue;Ferrans, Carol Estwing;Savoy, Suzanne
本研究的目的是了解女性2型糖尿病患者的抑郁、焦虑和愤怒情绪，以及这些情绪对她们整体生活质量的影响。会议被录音，并使用归纳法分析转录。41名女性(平均年龄55.6岁；SD=7.9)，平均患有2型糖尿病8.7年(SD=6.3)。42%的样本是非洲裔美国人。结果直接从焦点组数据中产生的主题是：(1)与不断变化的健康状况作斗争；(2)在与自我、家庭和他人的关系中遇到挑战；(3)担心现在和未来；(4)对自己和他人承担多重责任；(5)选择休息。女性还表达了抑郁、焦虑和愤怒的感觉，这主要与患有糖尿病以及管理作为照顾者的多重责任有关。结论女性2型糖尿病患者存在抑郁、焦虑和愤怒情绪，影响其健康和总体生活质量。研究结果表明，卫生保健提供者在制定护理计划时，应评估女性2型糖尿病患者的心理健康状况。通过了解和解决女性2型糖尿病患者的情绪健康问题，患者、家庭和医疗保健提供者之间的关系可能会得到改善，从而实现更成功的糖尿病管理。
PurposeThe purpose of this study is to understand the feelings of depression, anxiety, and anger experienced by women with type 2 diabetes and the impact these feelings have on their overall quality of life.MethodsFour focus groups (2 white, 2 African American) were conducted by ethnically matched professional moderators. Sessions were audiotaped, and transcriptions were analyzed using an inductive approach. Forty-one women (mean age, 55.6 years; SD = 7.9) who had type 2 diabetes for an average of 8.7 years (SD = 6.3) participated. Forty-two percent of the sample was African American.ResultsThe themes generated directly from the focus group data are (1) struggling with the changing health situation; (2) encountering challenges in relationships with self, family, and others; (3) worrying about the present and future; (4) bearing multiple responsibilities for self and others; and (5) choosing to take a break. Women also expressed feelings of depression, anxiety, and anger, which were primarily related to having diabetes as well as managing the multiple responsibilities of being a caregiver. There were more similarities than differences noted by race.ConclusionsWomen with type 2 diabetes experience feelings of depression, anxiety, and anger, which affect their health and overall quality of life. The findings suggest that health care providers should assess the psychological health of women with type 2 diabetes when developing plans of care. By understanding and addressing the emotional health of women with type 2 diabetes, the relationships between the patient, family, and health care provider may improve, allowing for more successful diabetes management.