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依从性问题是糖尿病管理的核心范畴。以饮食管理为线索,将2型糖尿病患者同时置于临床情境和日常生活,尤其是家庭生活中,通过展现医院和家庭两个空间内的权力与道德,从而将依从性问题回归到病人的日常生活,以及医患关系和家庭伦理的讨论上来。研究认为,医院空间的封闭性、医生的权威、患者对医生的信任、患者自我的道德约束等共同造就了住院患者的高依从性,而患者家庭则将民间智识、饮食文化、家庭伦理一并纳入了糖尿病人的日常饮食管理中,这才是患者回归家庭后表现出低依从性的深层原因。
Compliance is a core area of diabetes management. Taking diet management as a clue, patients with type 2 diabetes are placed in both clinical situations and daily life, especially in family life, so as to return the issue of compliance to the patient’s daily life by demonstrating the power and morality in both the hospital and family space Life, discussion of doctor-patient relationship and family ethics. The study suggests that the closeness of the hospital space, the authority of the doctors, the trust of the patients to the doctors, and the moral restraints of the patients themselves all contribute to the high compliance of the inpatients, while the patients’ families will integrate the private knowledge, food culture, family ethics And is included in the daily dietary management of diabetics, which is the underlying reason that patients show low compliance after returning to their home.