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首页> 外文学位 >The experiences of self -monitoring of blood glucose usage of adults with type 2 diabetes mellitus who are not using insulin.
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The experiences of self -monitoring of blood glucose usage of adults with type 2 diabetes mellitus who are not using insulin.

机译：自我监测未使用胰岛素的2型糖尿病成年人的血糖使用情况。

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摘要

The purpose of this study was to analyze the experiences of self-monitoring of blood glucose (SMBG) usage of adults with type 2 diabetes mellitus (T2DM) who are not using insulin. The sample consisted of 11 women and 8 men who were Caucasian Americans, 38 to 79 years of age. Data were analyzed using the grounded theory method including open and axial coding and the constant comparative method. The theory of "SMBG as a Cue in T2DM Self-Care" emerged from the data and is composed of four categories (a) Engaging, (b) Checking, (c) Responding, and (d) Establishing a Pattern.;Engaging marks the beginning of SMBG. Participants began on the recommendation of their physician and monitored between 2--6 times a day. Participants monitored because of curiosity and over time reduced or kept their initial frequency. Checking occurs when the blood glucose is obtained. Two subcategories emerged: Evaluating and Validating. The main items participants evaluated or validated were the effects of foods in relation to blood glucose levels.;Responding involves reacting to SMBG. Two subcategories emerged: Taking Action and Experiencing Emotion. Most actions involved changing foods consumed. Participants described feeling conflicted and "being bad" when not following through with an action. Emotions such as blame and fear were experienced when blood glucose levels were higher than normal, while happiness was experienced with normal levels.;Establishing a Pattern occurs when participants decide on how often to monitor. Two subcategories emerged: Using Regularly and Using Sporadically. The pattern developed was based on obtaining "normal" blood glucose patterns or on the absence of ill symptoms of T2DM. Healthcare provider disinterest in SMBG and fmgertip pain contributed to a decreased monitoring frequency. Participants described cyclical, iterative episodes of Checking, Responding, and varying their established patterns throughout their experiences with monitoring.;Participants discussed the value and struggles of SMBG in a T2DM self-care regimen. The theory of SMBG as a Cue in T2DM Self-Care could be used to guide the development of effective intervention strategies to help individuals with T2DM achieve blood glucose control which, in turn, leads to avoidance of ill symptoms and complications of T2DM.
机译：本研究的目的是分析未使用胰岛素的2型糖尿病（T2DM）成人的自我血糖监测（SMBG）的经验。样本包括11位女性和8位男性，分别是38至79岁的白种人美国人。使用扎实的理论方法（包括开放式编码和轴向编码）以及常数比较法对数据进行分析。数据中出现了“将SMBG作为提示在T2DM自我护理中”的理论，它由以下四个类别组成：（a）参与，（b）检查，（c）响应和（d）建立模式。 SMBG的开始。参加者根据医生的建议开始接受治疗，每天进行两次2--6次监护。由于好奇心而受到监视的参与者随着时间的流逝减少或保持了最初的频率。当获得血糖时进行检查。出现了两个子类别：评估和验证。参与者评估或确认的主要项目是食物对血糖水平的影响。；响应包括对SMBG的反应。出现了两个子类别：采取行动和体验情感。大多数行动涉及改变食用的食物。参与者描述了当不采取行动时感到矛盾和“不好”。当血糖水平高于正常水平时，会发生责备和恐惧等情绪，而当血糖水平高于正常水平时，则会产生幸福感。当参与者决定监控频率时，就会形成一种模式。出现了两个子类别：“定期使用”和“零星使用”。所建立的模式是基于获得“正常”血糖模式或没有T2DM的不适症状。医疗保健提供者对SMBG不感兴趣，fmgertip疼痛导致监测频率降低。参与者描述了整个监测过程中的检查，响应和改变其既定模式的周期性迭代过程。参与者讨论了SMBG在T2DM自我护理方案中的价值和努力。 SMBG理论可作为T2DM自我护理中的提示，可用于指导有效干预策略的发展，以帮助T2DM个体实现血糖控制，从而避免疾病症状和T2DM并发症的发生。

著录项

  • 作者

    Dlugasch, Lucie Bouffard.;

  • 作者单位

    University of Miami.;

  • 授予单位 University of Miami.;
  • 学科 Nursing.;Cognitive psychology.
  • 学位 Ph.D.
  • 年度 2009
  • 页码 147 p.
  • 总页数 147
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

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