Mostafavi Firoozeh, Alavijeh Fereshteh Zamani, Salahshouri Arash, Mahaki Behzad
Department of Health Education and Promotion, School of Health, Isfahan University of Medical Sciences, Isfahan, Iran.
Department of Health Education and Promotion, School of Health, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, 61357 - 15751, Iran.
Biopsychosoc Med. 2021 Jan 18;15(1):1. doi: 10.1186/s13030-020-00202-x.
The adherence of diabetic patients to their medication regimen is associated with many psychosocial factors that are still unknown. Therefore, the present study aims to identify the psychosocial barriers to medication adherence of patients with type2 diabetes (T2D).
This descriptive qualitative study was done in Isfahan, Iran by conducting in-depth unstructured interviews with 23 purposively selected patients with T2D and 10 healthcare providers (HCPs). The participants were interviewed face-to-face between November 2017 and June 2018 at the patient's home, a Health Care Center, or at the diabetes clinic. Data analysis was performed using MAXQDA-10 software and the conventional content analysis.
The analysis of the data led to six categories of perceived psychosocial barriers: 1) fear, concern and distress, 2) exhaustion and burnout, 3) the children's issues being the priority, 4) poor financial support, 5) communication challenges, and 6) poor work conditions.
This study identified some of the psychosocial barriers to medication adherence of patients with T2D, which will be of great help to researchers and HCPs in designing and implementing effective interventions to overcome these barriers and change patient self-care behaviors and increase their medication adherence.
糖尿病患者对药物治疗方案的依从性与许多尚不明确的社会心理因素有关。因此，本研究旨在确定2型糖尿病（T2D）患者药物治疗依从性的社会心理障碍。
本描述性定性研究在伊朗伊斯法罕进行，对23名经目的抽样选取的T2D患者和10名医疗服务提供者（HCPs）进行了深入的非结构化访谈。2017年11月至2018年6月期间，在患者家中、医疗保健中心或糖尿病诊所对参与者进行了面对面访谈。使用MAXQDA - 10软件和传统内容分析法进行数据分析。
数据分析得出六类感知到的社会心理障碍：1）恐惧、担忧和痛苦，2）疲惫和倦怠，3）以孩子的问题为先，4）经济支持不足，5）沟通挑战，6）工作条件差。
本研究确定了T2D患者药物治疗依从性的一些社会心理障碍，这将对研究人员和HCPs设计和实施有效干预措施以克服这些障碍、改变患者自我护理行为并提高其药物治疗依从性有很大帮助。
