Student Research Committee, School of Nursing and Midwifery, 556492Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Department of Community Health Nursing, School of Nursing & Midwifery, 274947Shahid Beheshti University of Medical Science, Tehran, Iran.
Chronic Illn. 2022 Dec;18(4):937-949. doi: 10.1177/17423953211049438. Epub 2021 Nov 6.
This study aimed to identify the perceptions of challenges in access to diabetes-related support resources among patients with type 2 diabetes and their family caregivers.
This qualitative study was conducted with 18 patients with type 2 diabetes and nine of their family caregivers, using the conventional content analysis method, in 2020 in Lorestan Province, Iran. The participants were selected through purposive sampling and the process continued until the data was saturated. Thirty semi-structured interviews, carried out from February to April 2020, were used to collect the data; they were analyzed using Graneheim and Lundman's content analysis (2004).
The study showed two main categories of structural challenges (subcategories: shortage of skilled professionals and defects in executive processes) and destructive inefficiencies (subcategories: service bottlenecks, uncertain support, and irresponsibility of medical team), indicating the dimensions of the participants' perceptions of barriers to support.
The findings of the study showed that barriers relating to the structure and function of healthcare organizations were among the most important challenges perceived by patients with diabetes when pursuing their care. However, there may be other barriers that have not been addressed due to the lack of support resources in deprived areas and the lack of awareness of patients.
本研究旨在确定 2 型糖尿病患者及其家属照顾者在获取糖尿病相关支持资源方面面临的挑战的认知。
这是一项于 2020 年在伊朗洛雷斯坦省进行的定性研究，采用常规内容分析法，纳入 18 名 2 型糖尿病患者和 9 名家属照顾者。参与者通过目的性抽样选择，直到数据饱和为止。共进行了 30 次半结构化访谈，时间为 2020 年 2 月至 4 月，用于收集数据；采用 Graneheim 和 Lundman 的内容分析法（2004 年）进行分析。
研究显示了两个主要的结构性挑战类别（亚类：熟练专业人员短缺和执行过程缺陷）和破坏性的效率低下（亚类：服务瓶颈、支持不确定和医疗团队不负责任），表明了参与者对支持障碍的认知维度。
研究结果表明，与医疗保健组织的结构和功能相关的障碍是糖尿病患者在寻求护理时面临的最重要挑战之一。然而，由于贫困地区支持资源不足以及患者缺乏意识，可能还存在其他未被解决的障碍。
