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Positive facilitators of diabetes management in emerging adults with type 1 diabetes—A qualitative analysis of blogs

机译:1型糖尿病新兴成人糖尿病管理的正促进者 - 博客的定性分析

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Introduction Emerging adults (18‐30?years) with type 1 diabetes must manage a demanding chronic illness as well as navigate a life phase full of instability and transitions. Clinical care for this age group remains a challenge. An improved understanding of psychological facilitators of diabetes management may contribute to optimized clinical care to this age group. Aim To explore which individual strategies facilitated emerging adults’ diabetes management and what kind of support they regard helpful from peers, family and healthcare providers. Methods Qualitative analysis of web blogs. We identified personal blogs by emerging adults with type 1 diabetes through a search at the websites for diabetes associations in Denmark, UK and the USA, a snowball search at identified blogs and an internet search (Google). Blog posts from approximately the last year were analysed with thematic analysis as described by Braun and Clarke. Results We included 16 blogs from UK, the USA, Australia and Denmark, focusing on blog entries from 2017 to 2018. Several psychological facilitators of management of type 1 diabetes were identified. Positive individual strategies involved: developing a balanced approach to blood glucoses, sharing diabetes with peers and making space for emotional reactions. Supportive involvement from peers, family and health care providers included: normalization, emotional backup and a nonjudgmental attitude. Conclusion Diabetes management in emerging adulthood can be facilitated by several individual strategies as well as by supportive involvement from peers, family and health care providers. It is worthwhile to further investigate how individual strategies as well as supportive involvement can be promoted in diabetes care.
机译:介绍新兴成人(18-30岁),1型糖尿病必须管理苛刻的慢性疾病,以及导航充满不稳定和过渡的生命阶段。这个年龄组的临床护理仍然是一个挑战。改善对糖尿病管理的心理促进者的理解可能有助于对该年龄组的优化临床护理。旨在探索哪些个体策略促进了新兴成人的糖尿病管理以及他们以同行,家庭和医疗保健提供者提供有帮助的方式。方法对Web博客的定性分析。我们通过在丹麦,英国和美国丹麦糖尿病协会的网站上搜索糖尿病的网站来确定个人博客,通过在丹麦,英国和美国,在识别的博客和互联网搜索(谷歌)中搜索雪球搜索。从去年的大约大约进行博客帖子进行主题分析,如Braun和Clarke所述。结果我们包括来自英国,美国,澳大利亚和丹麦的16个博客,重点介绍2017年至2018年的博客参赛作品。确定了几种糖尿病型糖尿病的心理促进员。涉及的积极个性策略:培养血糖的平衡方法,与同龄人分享糖尿病并为情绪反应提供空间。支持同行,家庭和医疗保健提供者的支持参与:正常化,情绪备份和非贫民态度。结论糖尿病管理在新兴成年期间可以通过几种单独的策略,以及对同龄人,家庭和医疗保健提供者的支持性参与促进。值得进一步调查个人策略以及支持性参与如何在糖尿病护理中促进。

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