与 2 型糖尿病患者血糖控制不佳相关的患者相关因素。
Patient-related factors associated with poor glycaemic control among patients with type 2 diabetes mellitus.
机构信息
MD, MPH, Chief Medical Officer Community Health Suva, Fiji Ministry of Health and Medical Services, Fiji.
BSc, MSc, PhD, Associate Professor in Public Health (Health Promotion), School of Public Health and Primary Care, Fiji National University, Fiji.
出版信息
Aust J Gen Pract. 2019 Aug;48(8):557-563. doi: 10.31128/AJGP-02-19-4859.
BACKGROUND AND OBJECTIVES
Poorly controlled type 2 diabetes mellitus (T2DM) is the number one cause of premature deaths, hospital admissions and disability in Fiji. The purpose of this qualitative study was to determine healthcare providers' perceptions of factors associated with glycaemic control.
METHOD
Three focus group discussions were conducted with 19 healthcare providers selected through purposive variation sampling in three selected diabetes clinics in Suva, Fiji, in August 2017 and analysed using thematic analysis.
RESULTS
Five themes on factors associated with poor glycaemic control emerged: patients' adherence to treatment and management plans, attitudes, knowledge about diabetes, culture/beliefs and support. Other factors that play a pivotal part in achieving good glycaemic control are healthcare providers' behaviour and addressing patient's caregiver issues DISCUSSION: Knowing how to empower patients with T2DM to manage the different patient-related factors associated with poor glycaemic control at first encounter will assist healthcare providers to deliver high-quality patient-centred diabetic care services and achieve better health outcomes in patients.
背景与目的
在斐济，控制不佳的 2 型糖尿病（T2DM）是导致过早死亡、住院和残疾的首要原因。本项定性研究的目的是确定医疗保健提供者对与血糖控制相关因素的看法。
方法
2017 年 8 月，在斐济苏瓦的 3 家选定的糖尿病诊所，通过目的抽样选择了 19 名医疗保健提供者进行了 3 次焦点小组讨论，并使用主题分析进行了分析。
结果
出现了与血糖控制不佳相关的 5 个因素主题：患者对治疗和管理计划的依从性、态度、对糖尿病的认识、文化/信念和支持。在实现良好血糖控制方面发挥关键作用的其他因素是医疗保健提供者的行为和解决患者照顾者的问题。
讨论
了解如何在初次就诊时赋予 T2DM 患者管理与血糖控制不佳相关的不同患者相关因素的能力，将有助于医疗保健提供者提供高质量的以患者为中心的糖尿病护理服务，并改善患者的健康结果。
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