负面或污名化信息对糖尿病结果的影响:综合性审查
Jane K Dickinson1, Rachel E Posesorski1, Sotos G Djiovanis1
1Teachers College Columbia University, New York, New York.
The science of diabetes self-management and care
|March 8, 2024
概括
负面或污名化的语言会对糖尿病护理行为和结果产生负面影响. 本次审查强调了改善沟通和减少糖尿病患者患病的干预措施的必要性.
科学领域:
- 医学沟通 医学沟通
- 糖尿病管理 糖尿病管理
- 健康心理学 心理健康心理学
背景情况:
- 在医疗保健环境中使用污名化语言越来越令人担忧.
- 以前关于医疗保健专业人员与糖尿病患者沟通的讨论可以追溯到2012年.
- 在最近的文献评论中存在一个差距,评估负面语言对糖尿病结果的影响.
研究的目的:
- 评估负面或污名化语言对糖尿病困扰,健康结果和护理行为的影响.
- 综合目前关于沟通方式对1型和2型糖尿病管理的影响的研究.
主要方法:
- 进行了综合性文献综述.
- 在四个主要数据库中进行了搜索:CINAHL,Embase,Web of Science和Medline (Ovid).
- 包括关注糖尿病,语言,耻辱感,糖尿病困扰,血糖控制和自我护理行为的研究.
主要成果:
- 审查了九项高质量的研究.
- 负面语言与一些人的自我照顾行为下降有关.
- 感知到的负面语言与更高的A1C水平和增加的糖尿病痛苦相关.
结论:
- 负面和污名化的语言对糖尿病患者产生了即时和长期的不利影响.
- 不一致的研究方法阻碍了确定明确的主题和比较.
- 进一步的研究对于开发促进糖尿病护理中积极沟通的干预措施至关重要.
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