Experiences of psychological resilience in coping with diabetes based on the Kumpfer resilience framework: a qualitative study
10.3760/cma.j.cn115682-20240905-04965
- VernacularTitle:基于Kumpfer弹性框架的糖尿病患者疾病应对心理弹性体验的质性研究
- Author:
Hantian CHENG
1
;
Yuan ZHOU
;
Jiayi ZHOU
;
Yanzhe WANG
;
Zheng LIN
;
Yang LEI
Author Information
1. 南京医科大学护理学院，南京 211166
- Publication Type:Journal Article
- Keywords:
Diabetes mellitus;
Response experience;
Resilience, psychological;
Qualitative research;
Semi-structured interview
- From:
Chinese Journal of Modern Nursing
2025;31(9):1154-1162
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the experience of psychological resilience in coping with diabetes, to elucidate the factors that contribute to the development of psychological resilience in coping with diabetes.Methods:A descriptive phenomenological approach, guided by the Kumpfer resilience framework in this study was used. A total of 15 diabetic patients who were hospitalized in the Department of Endocrinology of the First Affiliated Hospital with Nanjing Medical University from September to November 2023 were selected for the study using purposive sampling method to conduct semi-structured interviews. Colaizzi's 7-step analysis was used to summarize and refine themes from the interview findings.Results:A total of four themes and 11 sub-themes were distilled, namely, environmental context (availability of social resources, diversity of social support), intrinsic resilience factors (accumulation of positive mindset, physiological resilience reserve, diabetic learning experience, altruism), person-environment interaction processes (acceptance coping, avoidance coping, cognitive reappraisal, role-modeling learning) and resilience processes (enhancement of self-efficacy) .Conclusions:Mobilizing social resources and building a supportive environment are the cornerstones of psychological resilience in diabetes, enhancing intrinsic resilience factors is the core strength of psychological resilience in diabetes, and focusing on the use of coping strategies is the mechanism by which psychological resilience plays a role in adapting to the environment for patients with diabetes.
