Department of Health Management and Economics, School of Health, Tehran University of Medical Sciences, Tehran, Iran.
Social Determinants of Health Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.
BMC Health Serv Res. 2022 Jan 29;22(1):127. doi: 10.1186/s12913-022-07541-1.
Self-care behaviors in diabetic patients is considered an important factor for controlling the diabetes. Therefore, diabetic patients need training the self-care behaviors to control this disease. This study aims to investigate the reasons for diabetic patients' non-participation in a self-care training program.
This qualitative study was carried out between 1 April to 1 July 2019. We used in-depth semi-structured interviews with 30 diabetic patients who did not participate in the self-care training program. Data analysis was conducted using content analysis with MAXQDA software.
The results of this study showed that there are 5 themes and 14 sub-themes for patients' non-participation in self-care training program. Themes included access; individual, familial and social factors; attitude and awareness; motivator factors and need Factors. Also sub-themes were physical access, time access, physical abilities, social-familial responsibilities, attitude to disease, attitude to education, attitude to health, awareness, incentive, communication, teaching methods, perceived risk, access to other educational resources and self-efficacy.
According to the results of this study, simple physical and time access, offering high-quality education, providing virtual and distant training, organizing and designing modern training methods can lead to increase participation in self-care training programs.
糖尿病患者的自我护理行为被认为是控制糖尿病的重要因素。因此，糖尿病患者需要接受自我护理行为的培训来控制这种疾病。本研究旨在探讨糖尿病患者不参与自我护理培训计划的原因。
这是一项于 2019 年 4 月 1 日至 7 月 1 日进行的定性研究。我们使用深入的半结构式访谈方法，对 30 名未参加自我护理培训计划的糖尿病患者进行了访谈。数据分析采用 MAXQDA 软件进行内容分析。
本研究结果显示，患者不参与自我护理培训计划的原因有 5 个主题和 14 个次主题。主题包括：可及性；个体、家庭和社会因素；态度和意识；激励因素和需求因素。次主题包括：身体可及性、时间可及性、身体能力、社会-家庭责任、对疾病的态度、对教育的态度、对健康的态度、意识、激励、沟通、教学方法、感知风险、获得其他教育资源和自我效能。
根据本研究结果，简单的身体和时间可及性、提供高质量的教育、提供虚拟和远程培训、组织和设计现代培训方法，可以提高自我护理培训计划的参与度。
