PDF(Pubmed)
Abstract：
UNASSIGNED: India is the \'Diabetes Capital of the World\' and accounts for one in seven adults living with diabetes worldwide. Psychosocial, economic, and cultural correlates of disease have important implications for disease management but are rarely explored in India. The purpose of this study is to address psychosocial and cultural factors in diabetes management in the northeastern region of India which has a high disease burden.
UNASSIGNED: This study attempts to explore the psychosocial and lived experience of diabetes in the northeastern state of Meghalaya. The sample was selected from individuals attending an outpatient facility of a multi-speciality clinic. Semi-structured interviews were conducted with 25 individuals (13 women and 12 men), above the age of 40 years, who had been diagnosed with diabetes for at least 6 months. The narratives were analysed using thematic analysis.
UNASSIGNED: Using the social cognitive framework, themes were organized in terms of a thematic map linking knowledge of diabetes to the perception of diabetes as \'a silent killer\', to coping, leading to self-efficacy. However high self-efficacy, over time, may lead to complacency, disrupting health behaviours and requiring re-establishment of those behaviours. Adequate knowledge along with cognitive adaptation and self-efficacy were important constructs that contributed to behaviour change and maintenance. Elements of the cultural context were observed in the spiritual aspects of adaptation, the socially isolating consequences of diabetes, as well as gender differences in social support and management.
UNASSIGNED: Understanding the lived experiences of patients contributes to planning more effective interventions keeping the social and cultural context in mind for more effective management of diabetes. Additionally, acknowledging and supporting women\'s needs in diabetes management is called for.
UNASSIGNED: This study attempts to explore the psychosocial and lived experience of diabetes in the northeastern state of Meghalaya. The sample was selected from individuals attending an outpatient facility of a multi-speciality clinic. Semi-structured interviews were conducted with 25 individuals (13 women and 12 men), above the age of 40 years, who had been diagnosed with diabetes for at least 6 months. The narratives were analysed using thematic analysis.
UNASSIGNED: Using the social cognitive framework, themes were organized in terms of a thematic map linking knowledge of diabetes to the perception of diabetes as \'a silent killer\', to coping, leading to self-efficacy. However high self-efficacy, over time, may lead to complacency, disrupting health behaviours and requiring re-establishment of those behaviours. Adequate knowledge along with cognitive adaptation and self-efficacy were important constructs that contributed to behaviour change and maintenance. Elements of the cultural context were observed in the spiritual aspects of adaptation, the socially isolating consequences of diabetes, as well as gender differences in social support and management.
UNASSIGNED: Understanding the lived experiences of patients contributes to planning more effective interventions keeping the social and cultural context in mind for more effective management of diabetes. Additionally, acknowledging and supporting women\'s needs in diabetes management is called for.
摘要：
■印度是“世界糖尿病之都”，占全球糖尿病成年人的七分之一。社会心理,经济,和疾病的文化关联对疾病管理有重要意义，但在印度很少探索。这项研究的目的是解决印度东北地区疾病负担较高的糖尿病管理中的心理社会和文化因素。
■本研究试图探索东北部梅加拉亚邦糖尿病的社会心理和生活经历。样本是从参加多专业诊所的门诊设施的个体中选择的。对25个人(13名女性和12名男性)进行了半结构化访谈，40岁以上，被诊断患有糖尿病至少6个月。使用主题分析法对叙述进行了分析。
■使用社会认知框架，根据主题地图组织主题，将糖尿病知识与糖尿病作为“沉默杀手”的感知联系起来，为了应对，导致自我效能感。然而自我效能感高，随着时间的推移,可能会导致自满，破坏健康行为，并要求重新建立这些行为。足够的知识以及认知适应和自我效能感是促进行为改变和维持的重要结构。文化语境的元素在适应的精神方面被观察到，糖尿病的社会孤立后果，以及社会支持和管理方面的性别差异。
■了解患者的生活经历有助于制定更有效的干预措施，同时考虑社会和文化背景，以更有效地管理糖尿病。此外,承认和支持女性在糖尿病管理中的需求是必要的。
■本研究试图探索东北部梅加拉亚邦糖尿病的社会心理和生活经历。样本是从参加多专业诊所的门诊设施的个体中选择的。对25个人(13名女性和12名男性)进行了半结构化访谈，40岁以上，被诊断患有糖尿病至少6个月。使用主题分析法对叙述进行了分析。
■使用社会认知框架，根据主题地图组织主题，将糖尿病知识与糖尿病作为“沉默杀手”的感知联系起来，为了应对，导致自我效能感。然而自我效能感高，随着时间的推移,可能会导致自满，破坏健康行为，并要求重新建立这些行为。足够的知识以及认知适应和自我效能感是促进行为改变和维持的重要结构。文化语境的元素在适应的精神方面被观察到，糖尿病的社会孤立后果，以及社会支持和管理方面的性别差异。
■了解患者的生活经历有助于制定更有效的干预措施，同时考虑社会和文化背景，以更有效地管理糖尿病。此外,承认和支持女性在糖尿病管理中的需求是必要的。
