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2 型糖尿病患者对糖尿病自我管理的看法:一项定性研究。

Perspectives of Persons With Type 2 Diabetes Toward Diabetes Self-Management: A Qualitative Study.

机构信息

College of Medicine, Qatar University, Doha, Qatar.

Hamad Medical Corporation, Medicine Department, Doha, Qatar.

出版信息

Health Educ Behav. 2022 Aug;49(4):680-688. doi: 10.1177/10901981221098373. Epub 2022 Jun 6.

DOI:10.1177/10901981221098373
PMID:35658556
Abstract

. The global increase in type 2 diabetes (T2D) poses a significant public health challenge worldwide. Due to the chronic and complex nature of the disease, management does not depend on pharmacotherapy alone; rather, a comprehensive medical and self-management plan is required. Diabetes Self-Management Education programs should address diabetes-specific behaviors and be grounded in patients' perceptions of their disease and its consequences. . The study aims to understand perceptions of diabetes self-management (DSM) among persons of different nationalities with T2D living in Qatar. . A phenomenological qualitative study was implemented using four focus group interviews using Triandis Interpersonal Behavior Model to understand factors influencing DSM perceptions and behaviors. Therefore, deductive content analysis was used, also inductive content analysis used to find new emerging themes. Twenty-nine participants with T2D of 12 different nationalities were recruited. . Content analyses revealed that participants were mainly motivated to manage their diabetes by fear of future health complications-and the resulting impact on their families-triggered by witnessing these complications on other family members and friends. Factors that influenced DSM included cultural factors such as food content and holidays' customs, weather conditions, psychological distress, and social factors such as lack of family support. Furthermore, access to healthy food, number of working hours and time, and cost of DSM supplies were found to be among the barriers to DSM. . Understanding and considering patients' perspectives is a core component of culturally competent and evidence-based DSM programs, and it should be considered in any DSM program.

摘要

全球 2 型糖尿病(T2D)的增加给全球公共卫生带来了重大挑战。由于疾病的慢性和复杂性,管理不仅仅依赖于药物治疗;而是需要一个全面的医疗和自我管理计划。糖尿病自我管理教育计划应该针对糖尿病特有的行为,并基于患者对疾病及其后果的看法。

本研究旨在了解在卡塔尔生活的不同国籍的 T2D 患者对糖尿病自我管理(DSM)的看法。

采用四项焦点小组访谈,使用 Triandis 人际行为模型进行了一项现象学定性研究,以了解影响 DSM 认知和行为的因素。因此,采用了演绎内容分析,也采用了归纳内容分析来发现新出现的主题。共招募了 29 名来自 12 个不同国籍的 T2D 患者。

内容分析显示,参与者主要是由于担心未来的健康并发症以及这些并发症对其他家庭成员和朋友的影响,从而对管理自己的糖尿病产生了动力。影响 DSM 的因素包括文化因素,如食物内容和节日习俗、天气条件、心理困扰以及社会因素,如缺乏家庭支持。此外,还发现获得健康食品、工作时间和时间、以及 DSM 用品的成本是 DSM 的障碍。

了解和考虑患者的观点是文化上有能力和基于证据的 DSM 计划的核心组成部分,应该在任何 DSM 计划中都要考虑到。

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