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首页> 外文期刊>Journal of nursing and healthcare of chronic illness >A model of integration of illness and self-management in type 2 diabetes
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A model of integration of illness and self-management in type 2 diabetes

机译：2型糖尿病的疾病与自我管理相结合的模型

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A model of integration of illness and self-management in type 2 diabetes Aim. To describe the process of illness integration and self-management among people with type 2 diabetes. Background. Integration of illness is a developmental process referring to the emotional and existential aspects of being ill. It is an overarching concept that describes the process that a person undergoes in living with a chronic disease, from prediagnosis to adaptation to illness as a natural part of life. Despite the common use of terms such as illness integration and self-management, there exists little research that investigates how these concepts relate to one another. Methods. A narrative interview study applying qualitative content analysis was conducted with people diagnosed with type 2 diabetes. The study focused on their personal understandings of illness, and particularly, the relationship of the participants' illness integration to self-management of the disease. Data were collected in 2002. Results. In the trajectory from prediagnosis to adaptation, there is a turning point when people seem to integrate the illness emotionally and existentially, and in relation to their self-management practice. The trajectory includes the phases of suspecting illness/being diagnosed, understanding and explaining the illness, and negotiating illness and taking stands about self-management. These phases in turn are influenced by perceptions of the seriousness and threat of the disease; the intensity and nature of the ill person's emotional response to the disease and its management; goals and expectations for living with the disease and for living in general; and lastly, perceptions of the outcomes and impacts of self-management. Conclusion. Illness integration and self-management processes develop simultaneously. In some cases, a turning point occurs that causes the person to view self-management as both necessary and feasible. Relevance to clinical practice. Nurses may influence the illn...
机译：2型糖尿病的疾病与自我管理相结合的模型。目的。描述2型糖尿病患者的疾病整合和自我管理过程。背景。疾病的融合是指疾病的情感和存在方面的发展过程。它是一个总体概念，描述了一个人患有慢性疾病的过程，从预诊断到适应疾病成为生活的自然组成部分。尽管通常使用诸如疾病整合和自我管理之类的术语，但很少有研究调查这些概念之间的关系。方法。对被诊断患有2型糖尿病的人群进行了定性内容分析的叙述性访谈研究。该研究侧重于他们对疾病的个人理解，尤其是参与者的疾病整合与疾病自我管理之间的关系。数据收集于2002年。结果。在从预诊断到适应的轨迹中，当人们似乎在情感上和生存上以及与自我管理实践有关的情况下整合疾病时，存在一个转折点。轨迹包括怀疑疾病/被诊断，理解和解释疾病以及谈判疾病和采取自我管理立场的阶段。反过来，这些阶段受到对疾病严重性和威胁的认识的影响。病人对疾病及其管理的情感反应的强度和性质;患有该疾病以及总体生活的目标和期望;最后，是对自我管理的结果和影响的认识。结论。疾病整合和自我管理过程同时发展。在某些情况下，会出现一个转折点，使人们将自我管理视为必要和可行的。与临床实践有关。护士可能会影响病人的病情。

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