目的 了解2型糖尿病中青年患者饮食管理的真实体验,为患者进行饮食指导提供参考。 方法 对12例患者进行半结构式深入访谈,采用Colaizzi 7步分析法分析资料及提炼主题。 结果 提炼出饮食管理体验的4个主题：多种负性情绪并存、饮食决策困难、感受到长期坚持的艰难、想要重建信心并积极应对。结论2型糖尿病中青年患者饮食管理存在诸多困难,饮食管理的负性情绪不容忽视。医院、家庭、社会需构建支持网络,提供有效的支持方式,帮助患者克服困难,增加饮食管理的积极体验。

Objective To explore the diet management experiences of young and middle-aged patients with type 2 diabetes. Methods We conducted semi-structured in-depth interviews among 12 type 2 diabetes patients,and used Colaizzi 7-step analysis method for data analysis. Results Four themes emerged from the data,including multiple negative emotions,being difficult to make diet decisions,feeling the difficulty of insisting on the diabetes diets,and the desire to rebuild confidence and cope positively. Conclusion Young and middle-aged patients with type 2 diabetes generally have many problems in diet management. Their negative experience of diet management can't be ignored. Educators,families and society need to build support networks and provide effective support to help patients overcome difficulties and increase the positive experience of diet management.