Meta-synthesis of qualitative studies on the disease experience of adults with newly diagnosed type 1 diabetes
10.3760/cma.j.cn115682-20240402-01767
- VernacularTitle:成人初显期1型糖尿病患者疾病体验质性研究的Meta整合
- Author:
Baosheng ZHAO
1
;
Wenxiao WANG
;
Jing LIU
Author Information
1. 山东第一医科大学附属省立医院急救中心，济南 250021
- Publication Type:Journal Article
- Keywords:
Diabetes mellitus, type 1;
Qualitative research;
Meta-synthesis;
Evidence-based nursing
- From:
Chinese Journal of Modern Nursing
2025;31(2):211-216
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To systematically evaluate the real-life experiences and psychological feelings of adults with newly diagnosed type 1 diabetes.Methods:A computer-based search was conducted in PubMed, CINAHL, Embase, Web of Science, Cochrane Library, China National Knowledge Infrastructure, Wanfang Data, VIP, and China Biology Medicine disc for qualitative studies on the real experiences and psychological feelings of adults with newly diagnosed type 1 diabetes, with a search deadline of January 10, 2023. Literature quality was assessed using the 2016 edition of the Australian Joanna Briggs Institute's qualitative research quality evaluation standards, and the results were integrated using a meta-synthesis method.Results:A total of 9 studies were included, yielding 56 findings, which were categorized into 6 new themes: negative physical and psychological experiences (physical disorder, impact on thoughts and emotions) ; difficulty in role transition and frustration in disease management (disease-mediated role transition obstacles, poor adaptation to disease management models) ; coping and insights (self-management and multiple forms of support, hope and concerns for the future). Three integrated outcomes were identified.Conclusions:There is an urgent need to focus on the negative physical and psychological experiences of patients, enhance multiple forms of support, deepen comprehensive interventions, and focus on the long-term development of mental health. Supporting role transitions and developing systematic, shared, and personalized disease management strategies are crucial.
