AIMS To identify communication cycles patients use to make sense of a diabetes diagnosis and barriers patients encounter in their sensemaking process. METHODS Researchers conducted interviews with 33 participants with type 2 diabetes mellitus or prediabetes at medical centers in Georgia and Nevada. A thematic analysis using the constant comparative method identified communication cycles. RESULTS Patients reported engaging three communication cycles to make sense of the diagnosis: (1) interacting with healthcare clinicians; (2) seeking information online; and (3) taking a nutrition/diabetes management class. Patients reported system-level barriers that impact sensemaking: (1) lack of consistent or routine care; and (2) lack of access to resources. CONCLUSION Results here reinforce the theoretical proposition that receiving a diagnosis is an equivocal process that requires patients to make sense of new information through communication cycles. Patients in this sample repeatedly described communication cycles to interpret this new information rather than relying on assembly rules. Clinicians can promote patient understanding of diabetes and self-management by taking time to explain the diagnosis, maintaining consistent care, providing guidance to online sources, and ensuring patients have access to diabetes education.

中文翻译：

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患者如何看待糖尿病诊断：Weick的组织模型的应用。

目的识别患者用来理解糖尿病诊断的交流周期以及患者在其理解过程中遇到的障碍。方法研究人员在佐治亚州和内华达州的医疗中心对33位2型糖尿病或糖尿病前期患者进行了访谈。使用常数比较法进行的主题分析确定了交流周期。结果患者报告称参与了三个沟通周期以明确诊断：（1）与医疗保健医生互动；（2）在线查找信息；（3）参加营养/糖尿病管理课程。患者报告了影响感知的系统级障碍：（1）缺乏一致或常规的护理；（2）无法获得资源。结论这里的结果加强了理论上的主张，即接受诊断是一个模棱两可的过程，需要患者通过交流周期来理解新信息。该样本中的患者反复描述了交流周期以解释此新信息，而不是依赖装配规则。临床医生可以花时间解释诊断，保持一致的护理，提供在线资源指导并确保患者可以接受糖尿病教育，从而提高患者对糖尿病和自我管理的了解。