基于扎根理论的2型糖尿病患者饮食行为改变轨迹的质性研究

Ground Theory-based Qualitative Research on Change of Eating Behavior of Trajectory

目的探索2型糖尿病患者饮食行为改变的轨迹。方法采用扎根理论研究方法对19例2型糖尿病患者进行访谈、录音，同时对录音资料进行转录，采用Strass和Corbin的扎根理论分析资料的方法进行开放式编码、轴心式编码和选择式编码，形成类属和核心类属。结果2型糖尿病患者饮食行为改变轨迹包括朦胧期、摸索期和威胁期。结论2型糖尿病患者饮食行为的改变是随疾病的演变不断调整的过程。医务人员应了解患者行为改变的特征及体验，以促进对其行为的早期识别和正确指导。

Objective To investigate the changes in eating behavior of patients with type 2 diabetes. Methods The Grounded Theory methodology was used. Nineteen patients with Type 2 Diabetes Melhtus were interviewed. Then the records were transcribed and analyzed with open coding, axial coding and selective coding according to the grounded theory put forward by Strass and Corbin, To identify the categories and core category. Results The trajectory of Patients with type 2 diabetes can be divided into a period of a hazy period, a trial period and a threat period. Conclusion The trajectory of patients with type 2 diabetes is with the adaptation of the evolution of the disease process. Medical workers should understand the characteristics and experience of behavior changes in patients with type 2 diabetes, so as to promote early recognition and correct guidance for its behavior.