Longitudinal qualitative study on the changes in dietary behavior compliance management experience in middle-aged and young adults with newly diagnosed type 2 diabetes
10.3760/cma.j.cn115682-20241022-05770
- VernacularTitle:中青年初发2型糖尿病患者饮食行为依从性管理体验变化的纵向质性研究
- Author:
Peixuan CAI
1
;
Songmei CAO
;
Xinhui ZHAO
;
Yi ZHANG
;
Xiao WANG
Author Information
1. 南京医科大学附属淮安第一医院全科医学科，淮安 223300
- Publication Type:Journal Article
- Keywords:
Diabetes, type 2;
Middle-aged and young adults;
Dietary behavior;
Compliance;
Experience;
Longitudinal study;
Qualitative research
- From:
Chinese Journal of Modern Nursing
2025;31(19):2574-2579
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To understand the changes in the experience of dietary behavior compliance management in middle-aged and young adults with newly diagnosed type 2 diabetes (T2DM) and provide strategies for healthcare professionals to manage patients' long-term dietary compliance.Methods:A longitudinal qualitative study design was used. Purposeful sampling was conducted to select 16 middle-aged and young adult patients diagnosed with T2DM at the Department of Endocrinology, the Affiliated Huaian No. 1 Hospital of Nanjing Medical University, from January to May 2024. Semi-structured interviews were conducted, and data was analyzed cross-sectionally and longitudinally.Results:A total of 3 main themes and nine sub-themes were identified: emotional changes in dietary compliance (negative emotional experiences, positive emotional coping, and emotional fluctuations transformation) ; management experience of dietary compliance (gradual adaptation to dietary management, disruption of daily eating routine, and lack of family decision-making support) ; diverse support needs for dietary compliance (needs for knowledge and information support, peer and decision-making support, and continuity of care management system) .Conclusions:The experience of dietary behavior compliance management in middle-aged and young adults with T2DM is a continuous, dynamic, and fluctuating process. Healthcare professionals can develop targeted interventions based on patients' real situations and management experiences to improve their compliance levels.
