Robat Sarpooshi Davood, Taghipour Ali, Mahdizadeh Mehrsadat, Peyman Nooshin
Department of Health Education and Health Promotion, Social Determinants of Health Research Center, Student Research Committee, School of Health, Mashhad University of Medical Sciences, Mashhad, Iran.
Department of Epidemiology and Biostatistics, Social Determinants of Health Research Center, School of Health, Mashhad University of Medical Sciences, Mashhad, Iran.
Patient Relat Outcome Meas. 2020 Apr 17;11:109-118. doi: 10.2147/PROM.S241170. eCollection 2020.
Self-care behaviors are the most important factor in diabetes management, and improving such behaviors is the cornerstone in helping patients to manage their illness. The current study aimed to determine interfering factors in the self-care process in patients with diabetes.
The present qualitative study with content-analysis design was performed from March 2017 to April 2019 in Mashhad, Iran. Data collection was started with sampling and continued until saturation. Data were collected through semistructured interviews. Participants comprised 21 patients with diabetes (adults with type 1 or 2 diabetes) aged 31-60 years. Data analysis was performed using the Landman method and MaxQDA 10 software.
Qualitative content analysis showed that patients' self-care behavior was influenced by different factors and conditions. In the current study, four key themes facilitating or preventing self-care behaviors in patients with diabetes were extracted: accessibility, environmental factors, behavioral habits, and personal factors.
A range of personal and environmental factors may play an important role in the formation of self-care behaviors in patients with diabetes, and providing medical, welfare, and social support to such patients can facilitate self-care behavior formation in them. On the other hand, by removing perceived barriers, patients may be better able to adhere to self-care behaviors.
自我护理行为是糖尿病管理中最重要的因素，改善此类行为是帮助患者管理疾病的基石。本研究旨在确定糖尿病患者自我护理过程中的干扰因素。
本项采用内容分析法设计的定性研究于2017年3月至2019年4月在伊朗马什哈德进行。数据收集从抽样开始，持续到饱和。通过半结构化访谈收集数据。参与者包括21名年龄在31至60岁之间的糖尿病患者（1型或2型糖尿病成人患者）。使用兰德曼方法和MaxQDA 10软件进行数据分析。
定性内容分析表明，患者的自我护理行为受到不同因素和条件的影响。在本研究中，提取了促进或阻碍糖尿病患者自我护理行为的四个关键主题：可及性、环境因素、行为习惯和个人因素。
一系列个人和环境因素可能在糖尿病患者自我护理行为的形成中发挥重要作用，为这类患者提供医疗、福利和社会支持可以促进他们自我护理行为的形成。另一方面，通过消除感知到的障碍，患者可能能够更好地坚持自我护理行为。
