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首页> 外文期刊>Journal of transcultural nursing: official journal of the Transcultural Nursing Society >Perceptions of Insulin Treatment Among African Americans With Uncontrolled Type 2 Diabetes
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Perceptions of Insulin Treatment Among African Americans With Uncontrolled Type 2 Diabetes

机译：2型糖尿病不受控制的非洲裔美国人对胰岛素治疗的看法

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Purpose: Little is known regarding perception of insulin treatment among midlife and older African American (AA) adults with type 2 diabetes, or how perception affects self-management behaviors. Using the Roy adaptation model, this qualitative descriptive study explored the perception of insulin treatment in midlife and older AAs living with uncontrolled type 2 diabetes. Method: Three 1-hour focus groups were conducted with a total of 13 participants. Thematic analysis of transcribed audio recordings used the constant comparative method. Results: Themes identified include (a) insulin as instigator of negative emotions, (b) adapting to a lifestyle with insulin, and (c) becoming an insulin user: a new identity. Conclusion: Adapting to insulin is a psychosocial process that commonly results in negative emotions, identity conflict, and new roles. Implications for practice: Further research is needed to understand how AA adults perceive insulin treatment, understand the role of perception in self-management behaviors, and determine whether interventions to change perceptions may be effective in improving adaptation to diabetes.
机译：目的：对于中年人和2型糖尿病的老年非洲裔美国人（AA）成年人的胰岛素治疗知觉，或知觉如何影响自我管理行为，人们所知甚少。使用Roy适应模型，该定性描述性研究探索了中年和2型糖尿病不受控制的老年AA患者对胰岛素治疗的看法。方法：进行了三个1小时焦点小组讨论，共有13名参与者。转录录音的主题分析使用常数比较法。结果：确定的主题包括：（a）胰岛素引发不良情绪;（b）适应胰岛素生活方式;（c）成为胰岛素使用者：一种新身份。结论：适应胰岛素是一个社会心理过程，通常会导致负面情绪，身份冲突和新角色。对实践的意义：需要进行进一步的研究，以了解机管局成人如何看待胰岛素治疗，了解知觉在自我管理行为中的作用以及确定改变知觉的干预措施是否可能有效改善对糖尿病的适应性。

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