Purpose The purpose of the study was to explore an understanding of the psychosocial-behavioral impact of diabetes self-management among veterans with diabetes. Methods Twenty-six veterans participated in 1 of 9 focus groups that were conducted following a group diabetes self-management education class and prior to a mindfulness intervention as part of a feasibility pilot study. Discussions were guided by open-ended questions that addressed the overarching research question, “How do attitudes and experiences with diabetes inform psychosocial-educational approaches to diabetes self-management education and care for veterans?” Focus groups were audio-recorded and transcribed. The data was then independently coded and thematically analyzed by 2 coders. Results Five main themes that reflect veterans’ perceptions of their experiences with diabetes and diabetes self-management were identified: (1) distress and negative emotions, (2) social isolation, (3) perceived lack of control, (4) attitudes toward diabetes support, and (5) desire for information about stress, diabetes, health, and behavior. Conclusions Veterans experience emotional distress and have unmet psychosocial needs related to diabetes self-management. Insight gained from these veteran perspectives suggests a framework for integrating psycho-educational interventions like mindfulness into diabetes care that emphasize stress reduction, person-centered communication, and opportunities for peer support.

中文翻译：

---

退伍军人的糖尿病经历：定性分析

目的 本研究的目的是探讨对糖尿病退伍军人糖尿病自我管理的心理社会行为影响的理解。方法 26 名退伍军人参加了 9 个焦点小组中的 1 个，这些小组在集体糖尿病自我管理教育课程之后和正念干预之前进行，作为可行性试点研究的一部分。讨论以解决首要研究问题的开放式问题为指导，即“对糖尿病的态度和经历如何为糖尿病自我管理教育和退伍军人护理的心理社会教育方法提供信息？” 焦点小组被录音和转录。然后由 2 名编码员对数据进行独立编码和专题分析。结果 确定了五个反映退伍军人对其糖尿病和糖尿病自我管理经历的看法的主要主题：（1）痛苦和消极情绪，（2）社会孤立，（3）感觉缺乏控制，（4）对糖尿病的态度支持，以及 (5) 渴望了解有关压力、糖尿病、健康和行为的信息。结论 退伍军人经历情绪困扰，并有未满足的与糖尿病自我管理相关的社会心理需求。从这些资深观点中获得的见解提出了一个框架，将诸如正念之类的心理教育干预措施整合到糖尿病护理中，强调减压、以人为本的沟通和同伴支持的机会。(4) 对糖尿病支持的态度，以及 (5) 渴望了解有关压力、糖尿病、健康和行为的信息。结论 退伍军人经历情绪困扰，并有未满足的与糖尿病自我管理相关的社会心理需求。从这些资深观点中获得的见解提出了一个框架，将诸如正念之类的心理教育干预措施整合到糖尿病护理中，强调减压、以人为本的沟通和同伴支持的机会。(4) 对糖尿病支持的态度，以及 (5) 渴望了解有关压力、糖尿病、健康和行为的信息。结论 退伍军人经历情绪困扰，并有未满足的与糖尿病自我管理相关的社会心理需求。从这些资深观点中获得的见解提出了一个框架，将诸如正念之类的心理教育干预措施整合到糖尿病护理中，强调减压、以人为本的沟通和同伴支持的机会。