影响印度尼西亚2型糖尿病患者服药行为的问题：一项定性研究。
Issues Affecting Medication-Taking Behavior of People with Type 2 Diabetes in Indonesia: A Qualitative Study.
作者信息
Widayanti Anna Wahyuni, Sigalingging Kristian Kalvin, Dewi Furi Patriana, Widyakusuma Niken Nur
机构信息
Department of Pharmaceutics, Faculty of Pharmacy, Universitas Gadjah Mada, Yogyakarta, Indonesia.
出版信息
Patient Prefer Adherence. 2021 May 17;15:989-998. doi: 10.2147/PPA.S301501. eCollection 2021.
PURPOSE
It has been widely acknowledged that non-adherence to medication among people with type 2 diabetes is a significant problem worldwide. Studies have suggested that non-adherence to medication may be caused by the complexity of issues surrounding medication use which further created burdens related to medication. However, studies on this topic in the Indonesian context were still limited. This study aimed to understand the experiences of people with type 2 diabetes in medication-taking and explore any practical issues that potentially affect their behavior when taking medication.
METHODS
Qualitative phenomenological study with semi-structured interviews was applied. The participants were purposefully recruited and selected from some primary healthcare facilities in Yogyakarta Province. The eligibility criteria included: diagnosed with type 2 diabetes by healthcare professionals for at least six months and were able to comprehend information. Information about the study was explained, and written informed consent was collected. The interviews were recorded, transcribed verbatim, and analyzed with a deductive qualitative content analysis method.
RESULTS
Fifty-one people with type 2 diabetes were involved in this study. Most of the participants were between 40 and 59 years old, and many of them were female and housewives. The thematic analysis found some practical issues that affected people's behavior in taking type 2 diabetes medication. These included individual's mealtime, characteristics of the medications, accessibility of healthcare services, experiences of side effects and social activities.
CONCLUSION
The practical issues identified in this study can be resolved by improving the role of healthcare providers in managing people with diabetes. Future research needs to be conducted to evaluate the effectiveness of interventions developed based on understanding of the practical factors identified.
目的
2型糖尿病患者不遵医嘱服药是一个在全球范围内都很严重的问题，这一点已得到广泛认可。研究表明，不遵医嘱服药可能是由围绕药物使用的复杂问题导致的，这些问题进而造成了与药物相关的负担。然而，在印度尼西亚背景下关于这个主题的研究仍然有限。本研究旨在了解2型糖尿病患者在服药方面的经历，并探讨任何可能影响他们服药行为的实际问题。
方法
采用半结构式访谈的定性现象学研究方法。从日惹省的一些初级医疗保健机构中有目的地招募和挑选参与者。纳入标准包括：由医疗专业人员诊断为2型糖尿病至少六个月且能够理解信息。向参与者解释了研究相关信息，并收集了书面知情同意书。访谈进行录音，逐字转录，并采用演绎性定性内容分析法进行分析。
结果
51名2型糖尿病患者参与了本研究。大多数参与者年龄在40至59岁之间，其中许多是女性且为家庭主妇。主题分析发现了一些影响人们服用2型糖尿病药物行为的实际问题。这些问题包括个人用餐时间、药物特性、医疗服务可及性、副作用经历和社交活动。
结论
本研究中确定的实际问题可以通过改善医疗服务提供者在管理糖尿病患者方面的作用来解决。未来需要开展研究以评估基于对所确定的实际因素的理解而制定的干预措施的有效性。
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