了解糖尿病痛苦的经验:系统审查和主题综合
Louise Anne Morales-Brown1, Guillermo Perez Algorta1, Yakubu Salifu1
1Department of Health Research, Health Innovation One, Sir John Fisher Drive, Lancaster University, Lancaster LA1 4AT, UK.
Journal of diabetes research
|November 22, 2024
概括
糖尿病困扰源于缺乏控制,影响健康和糖尿病管理. 解决自主和无助等心理因素可以改善患者的护理和情绪调节.
科学领域:
- 心理学 心理学 心理学
- 内分泌学 在内分泌学.
- 医疗保健管理的管理
背景情况:
- 糖尿病焦虑是一种普遍的情绪负担,影响糖尿病患者的福祉,自我护理行为和血糖控制 (HbA1c).
- 了解糖尿病困境的概念化和潜在的情绪机制对于有效的糖尿病护理至关重要.
- 对糖尿病困境的定性研究需要进行系统审查,以增强当前的知识.
研究的目的:
- 系统地审查定性研究,以更好地概念化糖尿病困境.
- 识别导致糖尿病困扰的潜在情绪机制.
- 在糖尿病管理中,为改善患者与医疗保健互动的策略提供信息.
主要方法:
- 进行了定性系统审查和专题综合.
- 通过对PsycINFO,MEDLINE,CINAHL和EMBASE数据库 (2020年11月至2021年5月) 的全面搜索来确定研究.
- 通过使用麦克马斯特批判性审查表格评估研究质量.
主要成果:
- 综合包括了19项定性研究.
- 七个描述主题合并成三个分析主题:威胁自主权,无助感和负面的自我感.
- 一个核心的发现是,感知到缺乏控制显著导致糖尿病困扰.
结论:
- 心理因素,包括控制位置和学习的无助感,是糖尿病痛苦和情绪调节的潜在潜在机制.
- 临床医生应在预约期间主动与患者讨论痛苦.
- 医疗保健方法应优先考虑患者的自主权和赋权,以减轻糖尿病的痛苦.
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