摘要
目的探索导致2型糖尿病患者自我损耗的因素,为制订针对性的干预策略提供依据。方法采取目的抽样法,选取17例2型糖尿病患者作为研究对象。应用现象学质性研究方法,由经过培训的研究者进行半结构化深度访谈,根据Colaizzi 7步分析法进行资料的处理及提炼分析。结果最终提炼出2个主题和7个亚主题:直接触发因素,包括负面情绪、决策困境、克制冲动、竞争性任务;间接影响因素,包括动机不足、缺乏支持、低自我效能感。结论直接触发因素在短期内迅速消耗患者自我调节资源,间接影响因素则通过改变应对能力和心理状态增加患者长期负担,二者共同作用加速自我损耗的进程。护理人员应根据患者心理损耗原因,提供针对性的行为干预策略,帮助患者提升自我调节能力并减轻自我损耗水平,从而避免自我损耗的负面效应。
Objective To identify factors contributing to ego-depletion in patients with type 2 diabetes mellitus(T2DM)and to provide reference for targeted interventions.Methods Using phenomenological qualitative design,17 T2DM patients were purposively selected for semi-structured in-depth interviews conducted by trained researchers.Data were analyzed via Colaizzi′s seven-step method to extract themes.Results Two main themes and seven sub-themes emerged:direct triggers:negative affect,decision-making dilemmas,impulse restraint,and competitive tasks;and indirect contributors:lack of motivation,insufficient support,and low self-efficacy.Conclusion Direct triggers induce acute exhaustion of self-regulatory resources,while indirect contributors exacerbate long-term vulnerability through compromised coping capacity.Their synergistic interaction accelerates ego-depletion progression.Nursing interventions should address these mechanisms through tailored strategies to enhance self-regulation and mitigate depletion-related adverse outcomes.
作者
游嘉欣
徐蓉
夏添
黄海珊
You Jiaxin;Xu Rong;Xia Tian;Huang Haishan(Department of Nursing,Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430030,China)
出处
《护理学杂志》
北大核心
2025年第16期70-74,共5页
Journal of Nursing Science
基金
华中科技大学同济医学院附属同济医院科研基金护理专项(2023C08)。
关键词
2型糖尿病
自我损耗
自我调节
自我管理
质性研究
影响因素
心理资源
护理
type 2 diabetes mellitus
ego-depletion
self-regulation
self-management
qualitative study
influencing factors
psychological resources
nursing
作者简介
通信作者:徐蓉,1017565070@qq.com;游嘉欣:女,硕士在读,学生,3545172179@qq.com。
