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：

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退伍军人的糖尿病经验：定性分析

目的

这项研究的目的是探索对糖尿病退伍军人中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个小组，这些小组是在进行小组糖尿病自我管理教育班之后，并且在进行可行性研究之前，进行正念干预的。讨论以不限成员名额的问题为指导，这些问题解决了总体研究问题：“糖尿病的态度和经验如何为糖尿病自我管理教育和退伍军人的心理社会教育方法提供信息？” 对焦点小组进行录音和转录。然后由2位编码器对数据进行独立编码和主题分析。

结果

确定了反映退伍军人对糖尿病经验和糖尿病自我管理的五个主要主题：（1）苦恼和负面情绪，（2）社会孤立，（3）缺乏控制感，（4）对糖尿病支持的态度（5）希望获得有关压力，糖尿病，健康和行为的信息。

结论

退伍军人会经历情绪困扰，并有与糖尿病自我管理有关的未满足的社会心理需求。从这些资深人士的观点中得出的见解为将正念等心理教育干预措施整合到糖尿病护理中提供了一个框架，该框架强调减轻压力，以人为中心的交流以及获得同伴支持的机会。