2型糖尿病患者运动决策体验的质性研究
A qualitative study of the exercise decision-making experience of patients with type 2 diabetes mellitus
戴璇 1李珍 1秦月兰 1熊茂 1陶美伊1
作者信息
- 1. 湖南师范大学附属第一医院/湖南省人民医院,长沙 410005
- 折叠
摘要
目的:了解2型糖尿病患者运动决策的真实体验,为针对性制定决策辅助方案提供依据.方法:采用现象学研究方法,通过目的抽样法对13例2型糖尿病住院患者进行半结构式访谈,运用Colaizzi分析法对访谈资料进行分析.结果:归纳得出3个主题和8个亚主题:运动决策需求的差异较明显(决策认知差异、决策参与程度不一致、决策行为受情境约束)、运动决策支持不系统(低效的信息支持、缺位的情感支持、医患沟通不充分、时间和经济的压力、同伴效应的导向)运动决策结果不明确.结论:医护人员应针对2型糖尿病患者的不同需求,提供有效的决策支持,改善其决策体验,鼓励患者参与运动决策,提高运动依从性.
Abstract
Objective To understand the real-life experience of exercise decision-making in people with type 2 diabetes to inform the development of targeted decision-aid programs.Methods A phenomenological research method was used to conduct semi-structured interviews with 13 inpatients with type 2 diabetes mellitus,and Colaizzi analysis was used to analyze the inter-view data.Results Three themes and eight sub-themes were summarized:Exercise decision-making needs are differ signifi-cantly(decision-making cognitive differences,inconsistent decision-making participation,situational constraints on decision-making behavior),and exercise decision-making support is unsystematic(ineffective informational support,absent emotional support,Inadequate communication between healthcare professionals and patients,time and financial pressures,and peer effect orientation)Exercise decision-making outcomes are not clear.Conclusion Healthcare professionals should provide effective decision support to improve the decision-making experience for the different needs of patients with type 2 diabetes mellitus,encourage patients to participate in exercise decision-making,and improve exercise adherence.
关键词
2型糖尿病/临床决策/运动/质性研究Key words
diabetes mellitus,type 2/clinical decision-making/exercise/qualitative research引用本文复制引用
基金项目
湖南省卫生健康高层次人才重大科研专项(R2023128)
湖南创新型省份建设专项(2024JJ9301)
出版年
2024
NETL
NSTL
万方数据