2 型糖尿病患者的自我意识

D. A. Kurnia, P. Soewondo, D. Irawaty, J. Umar, D. Dahlia
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摘要

糖尿病患者自我意识的特点取决于对糖尿病、急性和慢性并发症的症状和体征以及糖尿病治疗副作用的了解。知识在行为改变意识和糖尿病自我管理技能方面发挥着重要作用。糖尿病患者在出现慢性并发症(包括大血管并发症和微血管并发症)时才会认识到糖尿病。本研究旨在通过对 20 名糖尿病患者的经历进行定性描述,探讨糖尿病患者如何管理自己的慢性问题和日常生活。本研究采用描述-定性方法,进行半结构式访谈,然后将访谈内容转录并上载到人工编码系统进行分析。受访者来自印度尼西亚雅加达的一家社区医疗中心。研究主题为 i) "意识到糖尿病是一个无法单独解决的健康问题",关注身体征兆成为自我意识的开端;ii) "应对糖尿病需要自我意识",对早期糖尿病有足够的了解并与医疗服务提供者共同成长,可以预防慢性并发症。本研究的意义在于,从长远来看,自我意识会极大地影响糖尿病患者的自我管理。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Self-consciousness of type 2 diabetes mellitus patients
The characteristics of self-consciousness of people with diabetes mellitus are determined by knowledge about diabetes mellitus, the signs and symptoms of acute and chronic complications, and the side effects of diabetes treatment. Knowledge plays an important role in the consciousness of behavioural change and diabetes self-management skills. People with diabetes recognize diabetes when they have experienced chronic complications, both macrovascular and microvascular. The study aims to explore how diabetics manage their chronic problems and their daily lives through a qualitative description of the experiences of 20 diabetes patients. This study used a descriptive-qualitative method, conducted a semi-structured interview, then transcribed and uploaded it into manual coding for analysis. Respondents were recruited from one of the community health centres in Jakarta, Indonesia. The themes were i) “Realizing diabetes is a  health problems that cannot be resolved alone”, paying attention to body signs becomes the beginning of self-consciousness; ii) “Coping with diabetes requires self-consciousness”, having adequate knowledge and growing personally with healthcare providers about early diabetes can prevent chronic complications. This study provides implications that self-consciousness greatly affects the self-management of diabetic patients in the long term.
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