Mikhael Ehab Mudher, Hassali Mohamed Azmi, Hussain Saad Abdulrahman, Shawky Nizar
Department of Clinical Pharmacy, College of Pharmacy, University of Baghdad, Baghdad, Iraq,
Department of Social and Administrative Pharmacy, School of Pharmaceutical Sciences, Universiti Sains Malaysia, Pulau Pinang, Malaysia,
Diabetes Metab Syndr Obes. 2018 Dec 17;12:1-17. doi: 10.2147/DMSO.S183776. eCollection 2019.
Diabetes self-management behaviors are necessary to ensure optimum glycemic control. However, limited data were available regarding the practice of self-management by the Iraqi diabetic patients. This study aims to understand the knowledge, behaviors, and barriers of diabetes self-management among Iraqi type 2 diabetes mellitus (T2DM) patients in addition to their opinions and views toward the diabetes self-management educational program.
A qualitative method approach was used to obtain the data from T2DM patients recruited from the National Diabetes Center, Baghdad, Iraq. Data were collected using a semi-structured interview guide, and a thematic analysis approach was used to process the data.
Most participants agreed to the importance of self-management practices especially healthy eating, exercise, taking medications, and healthy coping with stress to control DM and prevent its complications. Healthy eating and physical activity recommendations were inadequately practiced by most of the participants. Most participants reported irregular self-monitoring of blood glucose. Most of the participants properly adhered to the anti-diabetic medications. They generally lack proper information/knowledge about the importance of self-management practices of foot care and managing diabetes during sick days and how such practices should be implemented. Most participants have positive attitudes toward diabetes self-management practices. Face-to-face educational sessions are preferred by most patients.
The Iraqi diabetic patients have inadequate self-management behaviors. The main barrier to self-management practices was the lack of knowledge due to the absence of diabetes self-management educational programs in Iraq.
糖尿病自我管理行为对于确保最佳血糖控制至关重要。然而，关于伊拉克糖尿病患者自我管理实践的数据有限。本研究旨在了解伊拉克2型糖尿病（T2DM）患者在糖尿病自我管理方面的知识、行为和障碍，以及他们对糖尿病自我管理教育项目的看法和观点。
采用定性方法从伊拉克巴格达国家糖尿病中心招募的T2DM患者中获取数据。使用半结构化访谈指南收集数据，并采用主题分析方法处理数据。
大多数参与者认同自我管理实践的重要性，尤其是健康饮食、运动、服药以及健康应对压力以控制糖尿病并预防其并发症。大多数参与者未充分践行健康饮食和体育活动建议。大多数参与者报告血糖自我监测不规律。大多数参与者正确坚持服用抗糖尿病药物。他们普遍缺乏关于足部护理自我管理实践以及患病期间管理糖尿病的重要性的适当信息/知识，也不知道应如何实施这些实践。大多数参与者对糖尿病自我管理实践持积极态度。大多数患者更喜欢面对面的教育课程。
伊拉克糖尿病患者的自我管理行为不足。自我管理实践的主要障碍是由于伊拉克缺乏糖尿病自我管理教育项目而导致的知识匮乏。
