Claydon-Platt Kate, Manias Elizabeth, Dunning Trisha
Melbourne School of Health Sciences, The University of Melbourne, Carlton, Vic., Australia.
J Clin Nurs. 2014 Aug;23(15-16):2234-46. doi: 10.1111/jocn.12501. Epub 2013 Dec 26.
To explore the barriers to and facilitators of effective medication management from the perspectives of people with diabetes from a nonEnglish speaking background, carers and health professionals.
The barriers that people with diabetes experience managing their medications can adversely impact on health outcomes. People from nonEnglish speaking backgrounds are at risk of medication-related problems, although there is a paucity of research in this area.
A qualitative research design using a purposive sampling approach.
People with type 1 or type 2 diabetes from a nonEnglish speaking background, their carers, and health professionals who assisted these people and their carers to manage their medications were recruited from the diabetes outpatient clinic at an adult teaching public hospital in Melbourne, Australia. Participants were interviewed using a semi-structured interview guide. All interviews were audio-recorded, transcribed verbatim and analysed using a thematic framework method.
Eleven people with diabetes, 10 carers and 10 health professionals were interviewed, and four key issues were identified: diabetes knowledge, diabetes impact, medication knowledge and medication management. The cost of medications, language barriers that hinder communication, forgetfulness, and poor knowledge and understanding emerged as barriers to effective medication management. Facilitators included the use of dose administration aids to manage medications, but current medication lists were not used.
Findings revealed people with diabetes experienced a multitude of barriers when managing their medications, and, despite the problems people experienced, there appeared to be poor use of support aids to assist people to effectively manage their medications.
The findings can be used to develop strategies aiming at improving how people from nonEnglish speaking backgrounds manage their medicines.
从非英语背景的糖尿病患者、护理人员及健康专业人员的角度，探讨有效药物管理的障碍与促进因素。
糖尿病患者在管理其药物时所面临的障碍可能会对健康结果产生不利影响。非英语背景的人群存在药物相关问题的风险，尽管该领域的研究较少。
采用目的抽样法的定性研究设计。
从澳大利亚墨尔本一家成人教学公立医院的糖尿病门诊招募非英语背景的1型或2型糖尿病患者、他们的护理人员，以及协助这些患者及其护理人员管理药物的健康专业人员。使用半结构化访谈指南对参与者进行访谈。所有访谈均进行录音，逐字转录，并采用主题框架法进行分析。
对11名糖尿病患者、10名护理人员和10名健康专业人员进行了访谈，确定了四个关键问题：糖尿病知识、糖尿病影响、药物知识和药物管理。药物成本、阻碍沟通的语言障碍、健忘以及知识和理解不足成为有效药物管理的障碍。促进因素包括使用剂量给药辅助工具来管理药物，但目前未使用药物清单。
研究结果显示，糖尿病患者在管理药物时面临诸多障碍，而且尽管患者遇到了这些问题，但似乎很少使用支持辅助工具来帮助他们有效管理药物。
这些研究结果可用于制定策略，旨在改善非英语背景人群管理其药物的方式。
