在参加了2型糖尿病自我管理教育和支持计划后,了解行为变化维护:一项纵向定性研究
Márcia Carvalho1, Eimear Morrissey2,3, Pauline Dunne4
1Health Behaviour Change Research Group, School of Psychology, University of Galway, Galway, Ireland.
概括
维持2型糖尿病自我管理教育 (DSMES) 后的行为变化是具有挑战性的. 持续的支持,包括数字选择和自我监管技能培养,对于长期的成功至关重要.
科学领域:
- 健康心理学 心理健康心理学
- 行为医学是一种行为医学.
- 糖尿病管理 糖尿病管理
背景情况:
- 2型糖尿病自我管理教育和支持 (DSMES) 计划旨在改善健康结果.
- 在DSMES后长期维持行为变化并未完全理解.
- 了解患者的经验和支持需求对于有效的糖尿病护理至关重要.
研究的目的:
- 探索2型糖尿病成年人的行为改变维护经验,DSMES后15个月.
- 确定在2型糖尿病自我管理中对计划后支持的需求.
- 完善2型糖尿病维护自我管理 (SUSTAIN) 框架的支持理解和策略.
主要方法:
- 长度定性研究涉及21名患有2型糖尿病的成年人.
- 在15个月内进行了四次采访和经验采样 (笔记,照片).
- 收集数据的演和归纳主题分析.
主要成果:
- 完善了用于维持糖尿病自我管理的SUSTAIN框架.
- 确定了三个关键主题:整合变化,巩固独立性的变化,以及计划后支持的作用.
- 17名参与者完成了所有采访,为维护挑战提供了丰富的见解.
结论:
- 在DSMES后的行为变化可能很难维持.
- 未来的计划应该解决心理,环境和社会因素,促进自我调节和习惯形成.
- 考虑数字化交付,长期支持与同行和教育工作者参与超过12个月.
相关概念视频
Diabetes: Management and Pharmacotherapy
214
The therapy for diabetes aims to alleviate hyperglycemia-related symptoms, prevent acute metabolic decompensation, and reduce chronic end-organ complications. Glycemic control is evaluated through short-term (self-monitoring, continuous glucose monitoring) and long-term (A1c, fructosamine) metrics, enabling near real-time tracking of blood glucose levels and reflecting glycemic control over specific time frames.
Insulin remains the cornerstone of treatment for most patients with type 1 and many...
Insulin remains the cornerstone of treatment for most patients with type 1 and many...
214
Diabetes Mellitus: Type 2 and Gestational
2.1K
Type 2 diabetes, characterized by insulin resistance, arises when the insulin receptors on cells lose responsiveness to insulin, diminishing the cell's capacity to take up glucose, resulting in elevated blood glucose levels. To receive a diagnosis of Type 2 diabetes, a series of blood glucose tests are necessary to assess whether the blood glucose falls within normal parameters. If the result is out of the normal range, a patient may be diagnosed as prediabetic or diabetic, depending on the...
2.1K
Carbohydrate Metabolism
10.6K
Carbohydrates are polymers composed of molecules containing atoms of carbon, hydrogen and oxygen. One gram of carbohydrate can provide four kilo-calories of energy, which makes it the most efficient instant energy source.
Starch accounts for approximately 60% of the carbohydrates consumed by humans. Since amylase enzymes cannot function in the stomach's acidic environment, starch can only be digested in the mouth and small intestine. Simple sugars are found naturally in milk and fruits in...
Starch accounts for approximately 60% of the carbohydrates consumed by humans. Since amylase enzymes cannot function in the stomach's acidic environment, starch can only be digested in the mouth and small intestine. Simple sugars are found naturally in milk and fruits in...
10.6K
Stress Prevention and Stress Management Techniques VI
23
Adopting a healthier lifestyle often requires overcoming significant challenges, but leveraging psychological, social, and cultural resources can facilitate meaningful change. Effective self-change hinges on understanding and applying key tools such as motivation and goal setting, which help sustain efforts toward long-term health benefits.
Motivation and Self-Determination
Motivation, the driving force behind behavior, plays a pivotal role at every stage of the change process. The research...
Motivation and Self-Determination
Motivation, the driving force behind behavior, plays a pivotal role at every stage of the change process. The research...
23
Diabetes Mellitus: Overview and Type I Subtype
2.3K
Diabetes mellitus is a chronic metabolic disorder characterized by high blood glucose levels due to inadequate insulin production, insulin resistance, or both. The condition affects millions worldwide and can significantly impact their health and quality of life.
Type 1 diabetes is an autoimmune disease in which the immune system mistakenly attacks and destroys the insulin-producing beta cells in the pancreas. As a result, the body is unable to produce sufficient insulin, and individuals with...
Type 1 diabetes is an autoimmune disease in which the immune system mistakenly attacks and destroys the insulin-producing beta cells in the pancreas. As a result, the body is unable to produce sufficient insulin, and individuals with...
2.3K
Chronic Pancreatitis II: Collaborative Care
50
The management of chronic pancreatitis is multifaceted, involving a comprehensive approach that includes thorough assessment, diagnostic testing, and a variety of management strategies.
Assessment:
Assessment:
50


