A qualitative study on the risk perception characteristics of high-risk groups of diabetes under different blood glycemic states / 中国实用护理杂志

ABSTRACT

Objective:To explore the perception and perceived characteristics of risk of diabetes in people at high risk of diabetes under different glycemic states, and to provide a reference for clinicians to develop targeted risk interventions.Methods:Descriptive phenomenology research method was used to conduct semi-structured interviews with 17 diabetes high-risk persons selected by purpose sampling from August 2020 to January 2022 in the Health Management Center of General Hospital of Northern Theater Command. Data was transcribed and analyzed using Colaizzi ′s method. Results:Different glycemic states led to different themes for extraction. Each distilled 3 themes, normoglycemia including ignoring the existence of risk and creating doubt, risk perception relies on individual feelings, and demonstrate a positive attitude towards their risk control capabilities; initial diagnosis of dysglycemia including perceive the severity of the risk and express fear, mediated by health professionals and a strong desire to learn, accept by high-risk status and self-reflection on lifestyle; persistent glycemic impairment including tend to ignore risks to avoid undue stress and anxiety, determined based on experience and information, laissez-faire attitude or positive change. The differences among the 3 categories were mainly reflected in attitudes, emotions, perceived predisposing factors and risk control.Conclusions:It is still necessary to strengthen the education on diabetes prevention awareness and risk factors. And blood glucose can be considered as a classification guideline for targeted education.