目的 了解老年2型糖尿病（type 2 diabetes mellitus，T2DM）合并慢性并发症患者健康管理的真实体验，为制订针对性的干预措施提供依据。方法 2023年6-9月，采用便利抽样和目的抽样相结合的方法选取在上海市某医院就诊的15例老年T2DM合并慢性并发症患者及其家庭照顾者进行半结构式访谈，采用Colaizzi 7步法分析资料。结果 老年T2DM合并慢性并发症患者的健康管理真实体验可归纳提炼为4个主题，即自我应对健康管理困难、家庭支持系统能力不足或负荷较重、医疗社会支持力量不足、难以应对信息过载。结论 老年T2DM合并慢性并发症患者的健康管理存在多重困境，其健康管理受到自身、家属、医护人员的多方面影响，期待获得更好的健康管理体验。

Objective To understand the real-life experience of health management in elderly patients with type 2 diabetes mellitus (T2DM) and chronic complications,in order to provide a basis for developing targeted intervention measures.Methods From June to September 2023,a combined method of convenience and purposive sampling was used to select 15 elderly patients with T2DM and chronic complications and their family caregivers from a hospital in Shanghai for semi-structured interviews.Data were analyzed using Colaizzi’s 7-step method.Results The real-life experience of health management among elderly patients with T2DM and chronic complications were summarized into 4 themes:difficulties in self-managing health,insufficient capacity or excessive burden of family support systems,inadequate medical and social support,and challenges in coping with information overload.Conclusions Elderly patients with T2DM and chronic complications face multiple challenges in health management,influenced by personal,familial,and healthcare factors.They aspire to achieve a better health management experience.

R473.58

国家自然科学基金项目（72104181）