Improved self-management of type 1 diabetes in young women: Experiences of Guided Self-Determination-Young: A qualitative interview study.

IF 3.2 3区 医学 Q2 ENDOCRINOLOGY & METABOLISM
Josephine Haas, Martina Persson, Eva Hagström Toft, Johanna Bäck-Nirs, Marie Lindström, Anna Lindholm Olinder, Anna Lena Brorsson
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Abstract

Aims: Young women with type 1 diabetes (T1D) have higher risks of diabetes complications and report higher diabetes distress and lower quality of life than men with T1D. Their experiences of self-management and need for support have received little attention, and targeted interventions are lacking. The aim of this qualitative interview study was to explore the experiences of young women with T1D after participating in an intervention with the person-centred reflection and problem-solving model Guided Self-Determination-Young (GSD-Y), with a focus on self-management and support in daily diabetes care.

Methods: A qualitative interview study was performed in a paediatric and an adult diabetes outpatient clinic in Sweden. After participating in an intervention with GSD-Y, 12 women (15-20 years) with T1D were selected and interviewed individually. The interviews were analysed using inductive qualitative content analysis.

Results: The analysis revealed an overarching theme: 'A person-centred approach facilitated deeper reflection on both an individual and a relational level', and two main categories: 'The process initiated within the individual', and 'The process initiated together with the health care provider'. The women experienced increased knowledge of, and increased ability to manage diabetes. They also experienced a new type of relationship with the health care provider, including exchange of in-depth information beyond glucose levels, which appeared to increase their ability to receive support.

Conclusions: The GSD-Y model provided tools to explore and clarify the individual needs of young women with T1D, which supported diabetes self-management. Person-centred care was enabled when the women became engaged as active partners in diabetes health care.

目的:与男性 1 型糖尿病患者相比,年轻女性 1 型糖尿病患者患糖尿病并发症的风险更高,糖尿病困扰更大,生活质量更低。她们的自我管理经验和对支持的需求很少受到关注,也缺乏有针对性的干预措施。这项定性访谈研究旨在探讨 T1D 年轻女性患者在参与以人为本的反思和问题解决模式 "指导自我决定-年轻"(GSD-Y)干预措施后的经历,重点是日常糖尿病护理中的自我管理和支持:方法:在瑞典的一家儿科和一家成人糖尿病门诊诊所开展了一项定性访谈研究。在参加了 GSD-Y 的干预活动后,研究人员选取了 12 名患有 T1D 的女性(15-20 岁)进行个别访谈。采用归纳定性内容分析法对访谈内容进行了分析:分析揭示了一个总体主题:"以人为本的方法有助于在个人和关系层面进行更深入的反思",以及两个主要类别:"由个人发起的过程 "和 "与医疗服务提供者共同发起的过程"。妇女们增加了对糖尿病的了解,提高了控制糖尿病的能力。她们还与医疗服务提供者建立了新型关系,包括交流血糖水平以外的深入信息,这似乎提高了她们获得支持的能力:结论:GSD-Y 模式为探索和明确 T1D 年轻女性患者的个人需求提供了工具,有助于她们进行糖尿病自我管理。当年轻女性成为糖尿病健康护理的积极合作伙伴时,以人为本的护理就得以实现。
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来源期刊
Diabetic Medicine
Diabetic Medicine 医学-内分泌学与代谢
CiteScore
7.20
自引率
5.70%
发文量
229
审稿时长
3-6 weeks
期刊介绍: Diabetic Medicine, the official journal of Diabetes UK, is published monthly simultaneously, in print and online editions. The journal publishes a range of key information on all clinical aspects of diabetes mellitus, ranging from human genetic studies through clinical physiology and trials to diabetes epidemiology. We do not publish original animal or cell culture studies unless they are part of a study of clinical diabetes involving humans. Categories of publication include research articles, reviews, editorials, commentaries, and correspondence. All material is peer-reviewed. We aim to disseminate knowledge about diabetes research with the goal of improving the management of people with diabetes. The journal therefore seeks to provide a forum for the exchange of ideas between clinicians and researchers worldwide. Topics covered are of importance to all healthcare professionals working with people with diabetes, whether in primary care or specialist services. Surplus generated from the sale of Diabetic Medicine is used by Diabetes UK to know diabetes better and fight diabetes more effectively on behalf of all people affected by and at risk of diabetes as well as their families and carers.”
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