Veterans' Interpretation of Diabetes Distress in Diabetes Self-Management: Findings From Cognitive Interviews.
Veterans' Interpretation of Diabetes Distress in Diabetes Self-Management: Findings From Cognitive Interviews.
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DOI：
10.1177/26350106211043487
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发表时间：
2021-10
影响因子：
1.9
通讯作者：
King, Heather A.
中科院分区：
文献类型：
--
作者：
Lewinski, Allison A.;Shapiro, Abigail;Bosworth, Hayden B.;Crowley, Matthew J.;McCant, Felicia;Howard, Teresa;Jeffreys, Amy S.;McConnell, Eleanor;Tanabe, Paula;Barcinas, Susan;Coffman, Cynthia J.;King, Heather A.
该项目的目的是确定退伍军人糖尿病困扰 (DD) 的其他方面，这些方面可能因退伍军人的军事相关经历而存在。研究小组完成了对患有 2 型糖尿病 (T2DM) 的退伍军人的认知访谈，以检查他们如何回答糖尿病困扰量表（DD 量表），这是一种评估 DD 的工具。使用 DD 量表是因为它与自我管理挑战、医生相关的困扰和临床结果密切相关。退伍军人 (n = 15) 中 73% 为男性，平均年龄 61 岁 (SD 8.6)，53% 为黑人，53% 糖化血红蛋白水平 < 9%，67% 使用处方胰岛素。 DD 量表很容易被退伍军人理解和解释。主题分析表明影响 DD 和 T2DM 自我管理的其他领域包括：获得护理、合并症、日常生活中断、情绪和行为波动、与提供者的互动、糖尿病的终身性质、心理健康问题、军事文化、个人特征、身体限制、身体疼痛、信息和支持来源、灵性和耻辱。本研究描述了退伍军人的军事经验如何在 T2DM 自我管理的背景下对 DD 做出贡献。研究结果表明，临床医生和研究人员在制定自我管理干预措施并与 T2DM 患者讨论自我管理行为时应考虑其他领域。
The purpose of this project was to identify additional facets of diabetes distress (DD) in Veterans that may be present due to the Veteran’s military-related experience. The study team completed cognitive interviews with Veterans with type 2 diabetes mellitus (T2DM) to examine how they answered the Diabetes Distress Scale, (DD Scale) a tool that assesses DD. The DD Scale was used due to its strong associations with self-management challenges, physician-related distress, and clinical outcomes. Veterans (n = 15) were 73% male, mean age of 61 (SD 8.6), 53% Black, 53% with glycosylated hemoglobin level < 9%, and 67% with prescribed insulin. The DD Scale is readily understood by Veterans, and interpreted. Thematic analysis indicated additional domains affecting DD and T2DM self-management included: access to care, comorbidities, disruptions in routine, fluctuations in emotions and behaviors, interactions with providers, lifelong nature of diabetes, mental health concerns, military as culture, personal characteristics, physical limitations, physical pain, sources of information and support, spirituality, and stigma. This study describes how a Veteran’s military experience may contribute to DD in the context of T2DM self-management. Findings indicate clinicians and researchers should account for additional domains when developing self-management interventions and discussing self-management behaviors with individuals with T2DM.
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影响因子：
2.5
作者：
Hernandez, Lenore;Leutwyler, Heather;Chesla, Catherine
通讯作者：
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影响因子：
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