2型糖尿病不可逆并发症的生活经历:一项定性研究

M. Firouzkouhi, Abdolghani Abdollahimohammad
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引用次数: 0

摘要

目的:糖尿病是世界范围内的主要健康问题。糖尿病患者会经历许多影响他们生活的问题。2型糖尿病(T2DM)患者自我护理和依从性差可导致慢性高血糖和不可逆并发症。本研究旨在探讨伴有不可逆并发症的T2DM患者的生活经历。材料与方法:采用半结构化访谈法进行质性现象学研究。收集的数据采用Braun和Clarke框架进行主题分析。参与者包括15名伴有不可逆并发症的T2DM患者,他们被选中在伊朗Zabol通过有目的的抽样进行研究。结果:研究结果分为“过去的疏忽,未来的威胁”、“遭受灾难性并发症”和“糖尿病的复杂生活”三个主题。其中分主题有:对以前的不良行为感到抱歉、对疾病的未来感到恐惧、疾病的连续挑战、失去生命的重要性、贫困、失去家庭和社会交流、逐渐涉及身体器官、生与死。结论:考虑到不可逆的糖尿病并发症,缺乏自信的患者是被疾病打败的,在生活的各个维度上都无法控制病情。此外,患者需要护理人员和家庭的支持和关注,采取与健康相关的行为,拥抱疾病状况,走向主导现状。
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Lived Experiences of Type 2 Diabetes with Irreversible Complications: A Qualitative Research
Objective: Diabetes is a major health concern worldwide. Diabetic patients experience many issues that affect their lives. Poor self-care and compliance in type 2 diabetes mellitus (T2DM) patients cause chronic hyperglycemia and irreversible complications. The study aimed to explore the lived experiences of T2DM patients with irreversible complications. Materials and Methods: The qualitative phenomenology study was conducted through a semi-structured interview. The collected data were analyzed using Braun and Clarke framework for thematic analysis. Participants included 15 T2DM with irreversible complications who were selected to conduct the study through purposive sampling in Zabol, Iran. Results: Research findings were classified into three main themes "past negligence, future threat", "suffering from disastrous complications" and "complicated life with diabetes". Some of the sub-themes were as follows: being sorry for previous unhealthy behaviors, fearing the future with the disease, successive challenges of the disease, losing the importance of life, poverty, losing family and social communications, gradual involvement of body organs, and life and death. Conclusion: Patients with no self-confidence are defeated by the disease and have no control over the conditions in different dimensions of life, considering the irreversible diabetes complications. Besides, patients need the support and attention of care providers and families to take the health-related behaviors, embrace the disease condition and move toward dominating the present situation.
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