2型糖尿病患者自我疾病认知误区的质性研究  

Qualitative Study on the Misunderstanding of Self-disease in Type 2 Diabetes Patients

作　　者：姜翠红[1] 李杰萍[1] JIANG Cui-hong;LI Jie-ping(Department of Integrated Traditional Chinese and Western Medicine,Yantai Yuhuangding Hospital Affiliated to Qingdao University School of Medicine,Yantai 264000,Shandong,China)

机构地区：[1]青岛大学医学院附属烟台毓璜顶医院中医中西医结合科,山东烟台264000

出　　处：《医学信息》2020年第9期171-174,共4页Journal of Medical Information

摘　　要：目的了解2型糖尿病患者对自我疾病认知方面的真实体验,发现存在哪些自我管理误区,为患者更好地管理疾病提供临床依据。方法采用现象学研究和互动式交流相结合的方法,对15例2型糖尿病患者进行深入访谈。结果提炼出自我疾病认知误区的6大主题:不愿意用药的心理、不合理应用降糖药物、胰岛素使用的误区、不科学的饮食习惯、对糖尿病足的预防和管理不到位、对糖尿病的并发症不知晓。结论护理人员应为糖尿病患者提供针对性的健康指导,提高其主动管理疾病的知信行水平,优化家庭成员对患者的社会性支持力度,倡导延续性居家护理,协助患者更好地管理疾病,延缓并发症的发生,提高患者的生存质量。Objective To understand the true experience of patients with type 2 diabetes in cognition of self-disease, to discover the misunderstandings of self-management, and to provide clinical basis for patients to better manage disease.Methods Using a combination of phenomenological research and interactive communication, 15 patients with type 2 diabetes were interviewed in depth. Results 6 main themes of selfdisease misconceptions were extracted: psychology of unwillingness to use drugs, unreasonable application of hypoglycemic drugs, misunderstandings of insulin use, unscientific dietary habits, inadequate prevention and management of diabetic foot, and concurrent diabetes the disease is not known.Conclusion Nursing staff should provide targeted health guidance for diabetics, improve their knowledge, behavior, and initiative to manage disease,optimize family members ’social support for patients, advocate continuous home care, and help patients better manage disease and delay the occurrence of complications improves the patient’s quality of life.

关 键 词：2型糖尿病 认知误区 质性研究 

分 类 号：R473.5[医药卫生—护理学]