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首页> 外文学位 >The lived experience of individuals with type 2 diabetes who have sustained successful lifestyle change and achieved long-term positive health outcomes: A special look at the male experience.
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The lived experience of individuals with type 2 diabetes who have sustained successful lifestyle change and achieved long-term positive health outcomes: A special look at the male experience.

机译：持续成功地改变生活方式并取得长期积极健康成果的2型糖尿病患者的实际经历：对男性经历的特别观察。

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摘要

The purpose of this research study was to investigate the lived experience of individuals with type 2 diabetes who have sustained successful lifestyle change and achieved long-term positive health outcomes, and to better understand the motivational factors and conditions that contributed to their success. A qualitative interpretative phenomenological analysis method was employed to understand the lived experience and meaning of 4 males (and in the collaborative portion of the study, 4 females) who successfully managed their type 2 diabetes. The collaborative research design consisted of a shared research question, literature review, and method, but unique data set, analysis, and discussion. Each participant was interviewed three times. The data analysis included an interrater reliability check.;The outcomes of the study revealed 7 gender-specific superordinate themes and conceptual models as well as 10 combined cross-case superordinate themes. The male specific outcomes included the identification of 7 themes: (a) trigger events, (b) self-determined man, (c) self-care implementation, (d) the evolved self, (e) motivation matters, (f) the diabetes effect, and (g) support that matters which culminated in a conceptual model titled: "A self-care journey to diabetic well-being." The combined cross-analysis of males and females resulted in the identification of the following 10 themes: (a) denial of implications of poor self-care, (b) emotional trigger events, (c) the medical system misses the mark, (d) lifestyle redesign, (e) self-determined mindset, (f) motivation, (g) shift in identity, (h) support that matters, (i) the diabetes paradox, and (j) becoming a diabetes advocate.;Based on the results of this study, a framework of diabetes care is suggested that could serve to support individuals with diabetes through long-term lifestyle change and the sustainment of positive health outcomes. The implications of this research provide directional input into diabetes care programming and are intended to enhance long-term diabetes self-care practices and sustained health outcomes.
机译：这项研究的目的是调查成功改变生活方式并取得长期积极健康成果的2型糖尿病患者的生活经验，并更好地了解促成他们成功的动机因素和条件。采用定性解释现象学分析方法来了解成功治疗2型糖尿病的4名男性（在研究的协作部分中为4名女性）的生活经验和意义。协作研究设计包括一个共同的研究问题，文献综述和方法，但是具有独特的数据集，分析和讨论。每个参与者都接受了三次采访。数据分析包括一项跨度可靠性检查。研究结果揭示了7个针对性别的上级主题和概念模型，以及10个组合的跨案例上级主题。男性的具体结果包括确定以下7个主题：（a）触发事件，（b）自我决定的人，（c）实施自我保健，（d）自我发展，（e）动机问题，（f）糖尿病的影响，以及（g）支持这些事情，最终形成了一个概念模型，名为“糖尿病患者的自我保健之旅”。结合男性和女性的交叉分析，确定了以下10个主题：（a）否认不良自我保健的影响，（b）情感触发事件，（c）医疗系统未达到目标，（d ）生活方式的重新设计，（e）自我决定的心态，（f）动机，（g）身份转变，（h）重要的支持，（i）糖尿病悖论，（j）成为糖尿病倡导者;基于根据这项研究的结果，建议建立一个糖尿病护理框架，该框架可通过长期的生活方式改变和维持积极的健康成果来支持糖尿病患者。这项研究的意义为糖尿病护理规划提供了方向性的投入，旨在增强糖尿病的长期自我护理实践和持续的健康成果。

著录项

  • 作者

    Conlin, Charlene V.;

  • 作者单位

    Saybrook University.;

  • 授予单位 Saybrook University.;
  • 学科 Alternative medicine.;Medicine.;Mental health.
  • 学位 Ph.D.
  • 年度 2014
  • 页码 290 p.
  • 总页数 290
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类 整形外科学（修复外科学）;
  • 关键词

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