Diabetes self-management experience: a focus group study of Taiwanese patients with type 2 diabetes
Diabetes self-management experience: a focus group study of Taiwanese patients with type 2 diabetes
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DOI：
10.1111/j.1365-2702.2007.01962.x
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发表时间：
2008-03-01
影响因子：
4.2
通讯作者：
Lee, Bih-O
中科院分区：
文献类型：
--
作者：
Lin, Chiu-Chu;Anderson, Robert M.;Lee, Bih-O
目的和目标。本研究的目的是了解并记录台湾2型糖尿病患者对自我管理慢性病的过程和策略的看法。背景。患者通过自我调节学习自我管理的重要性已在文献中得到认可，但很少有研究集中在管理症状的技能上。此外，从病人的角度出发，对病人如何自我管理糖尿病的研究还很少。社会文化背景也是疾病管理的一个影响因素。焦点小组被用来收集来自台湾南部三所教学医院的41名成人2型糖尿病患者的数据。五个焦点小组的人数从6人到10人不等。记录、转录和分析焦点组。揭示了三个主题和十个副主题。第一个主题“疾病的影响”包括三个次主题：面对污名化的困境，关注糖尿病的遗传和寻求希望的替代疗法。第二个主题“自我调节过程”包括四个子主题：努力控制饮食，适应心理障碍，识别身体反应和制定应对糖尿病的策略。第三个主题“转变过程”包括三个子主题：恢复传统疾病，家庭和同伴的支持和学习生活与diseases.Conclusions.Findings从主题的研究表明，糖尿病患者的自我管理是高度相关的，他们自己的社会文化环境和经验。了解疾病的文化特征和意义有助于制定针对该文化群体需求的干预措施。与临床实践的相关性。这些发现对于医疗保健提供者考虑个人的社会文化背景具有重要意义，他们可以在这些背景下选择治疗和管理疾病。这一认识将提高糖尿病患者通过自我调节的技能转变为积极的自我管理。
Aims and objectives. The purpose of this study was to understand and document the perspectives of Taiwanese patients with type 2 diabetes regarding the processes and strategies used to self-manage their chronic condition.Background. The importance of patients learning self-management through self-regulation has been recognized in the literature, but little of this research has focused on skills to manage symptoms. Besides, studies about how patients self-manage their diabetes in term of patients' perspectives have been scant. Sociocultural context is also an influencing factor in disease management.Methods. Focus groups were used to collect data from 41 adult participants with type 2 diabetes at three teaching hospitals located in southern Taiwan. The five focus groups ranged in size from six to ten people. The focus groups were recorded, transcribed and analysed.Results. Three themes and ten subthemes were revealed. The first theme 'the impact of the illness' includes three subthemes: facing the predicament of stigmatization, concern about inheritance of diabetes and seeking alternative therapy for hope. The second theme 'self-regulation process' includes four subthemes: struggling for diet control, adjusting to psychological barriers, identifying body response and developing strategies for dealing with diabetes. The third theme 'transformation process' includes three subthemes: resuming conventional illness, support from families and fellow patients and learning to live with the disease.Conclusions .Findings obtained from the themes of the study illustrated that self-management of patients with diabetes is highly related to their own sociocultural environment and experiences. Understanding the cultural features and the meaning of illness can help in the development of interventions tailored to the needs of this cultural group.Relevance to clinical practice. The findings have important implications for healthcare providers to consider individuals' sociocultural backgrounds in which they make choices about their treatment and manage their illness. This recognition will enhance patients with diabetes to transform being active in self-management through the skills of self-regulation.