Perceived Impact of Cancer Treatment on Diabetes Self-Management
Perceived Impact of Cancer Treatment on Diabetes Self-Management
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DOI：
10.1177/0145721712458835
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发表时间：
2012-11-01
影响因子：
3.9
通讯作者：
Davis, Ellen
中科院分区：
文献类型：
--
作者：
Hershey, Denise Soltow;Tipton, Janelle;Davis, Ellen
PurposeThe本研究的目的是确定癌症及其治疗对糖尿病自我管理的影响，并确定糖尿病患者在接受化疗时遇到的常见问题。MethodsThis探索性研究采用了基线自我管理的书面调查和8周的电话随访调查，其中包括2个开放式问题。从密歇根州和俄亥俄州的8个社区门诊癌症中心招募了43名50岁或50岁以上的糖尿病和接受化疗的实体瘤患者。资料以描述性、t检定及相关性分析。内容分析被用来分析数据从开放式的questions.ResultsAfter至少8周的化疗，患者进行糖尿病自我管理行为显着减少。大多数人在接受化疗时，他们进行糖尿病自我管理活动的能力受到中度至高度影响。运动、饮食能力和血糖监测受到的影响最大。三个主题确定患者的问题，指出：自我管理问题，健康问题，和prioritization.ConclusionsCancer治疗和癌症相关症状可以有糖尿病自我管理行为的成年糖尿病患者正在接受化疗的负面影响。糖尿病自我管理教育的目标是改善糖尿病和癌症患者的健康状况，并解决问题的“原因”，而不仅仅是“来源”。需要进行进一步的研究，以解决该人群中与血糖控制和健康相关结局相关的问题。
PurposeThe purpose of this study was to identify the impact that cancer and its treatment had on diabetes self-management and to identify common issues that individuals with diabetes encounter while undergoing chemotherapy.MethodsThis exploratory study utilized a baseline self-administered written survey and an 8-week telephone follow-up survey that included 2 open-ended questions. Forty-three adults aged 50 or older with diabetes and a solid tumor cancer receiving chemotherapy were recruited from 8 community outpatient cancer centers in Michigan and Ohio. Descriptives, t tests, and correlations were utilized to analyze the data. Content analysis was used to analyze the data from the open-ended questions.ResultsAfter a minimum of 8 weeks of chemotherapy, patients performed significantly fewer diabetes self-management behaviors. The majority of individuals experienced a moderate to high impact on their ability to perform diabetes self-management activities while receiving chemotherapy. Exercise, ability to eat and drink, and monitoring blood sugars were most affected. Three themes identifying patient issues were noted: self-management issues, health issues, and prioritization.ConclusionsCancer treatment and cancer-related symptoms can have a negative impact on diabetes self-management behaviors in adults with diabetes who are undergoing chemotherapy. Diabetes self-management education is targeted to improve health outcomes in patients with diabetes and cancer and addresses the "cause" not just the "source" of the problem needs to be developed. Further research needs to be done to address issues related to glycemic control and health-related outcomes in this population.