Department of Primary Health Care and General Practice, University of Otago, Wellington, Newtown, Wellington 6021, New Zealand.
Department of Medicine, University of Otago, Wellington, Newtown, Wellington 6021, New Zealand.
J Prim Health Care. 2022 Jun;14(2):138-145. doi: 10.1071/HC21066.
Introduction Prediabetes is the asymptomatic precursor to type two diabetes mellitus, a significant and growing public health problem in New Zealand (NZ). Little is known about how general practitioners (GPs) and nurses view prediabetes care, and similarly little is known about how people with prediabetes view their condition and care. Aim This study aimed to investigate the views of NZ GPs and nurses, and people with prediabetes about prediabetes and its management. Methods This was a mixed qualitative methods study that is part of a randomised control trial of a prediabetes intervention. Results Three key themes emerged from the health professional data (GPs and nurses) and another three themes emerged from people with prediabetes data. GPs and nurses were uncertain about the progression of prediabetes; they felt prediabetes was not a priority and they were unsure about what to advise. People with prediabetes were uncertain about the diagnosis and information given to them; they were unsure about what to do about prediabetes and they found lifestyle change hard. Discussion GPs, nurses and people with prediabetes, expressed much uncertainty, but also some certainty about prediabetes. All were certain that prediabetes is common and increasing and that sustained lifestyle change was very difficult. But uncertainty prevailed about whether, in reality, prediabetes could be stopped, who would be most likely to benefit from lifestyle interventions and how best to achieve these. Older Māori and Pacific women were keen to promote lifestyle change and this appeared best done through Māori and Pacific peoples' organisations by means of co-designed interventions.
简介 前驱糖尿病是 2 型糖尿病的无症状前体，在新西兰（NZ）是一个重大且日益严重的公共卫生问题。人们对全科医生（GP）和护士如何看待前驱糖尿病护理知之甚少，同样，对前驱糖尿病患者如何看待自己的病情和护理也知之甚少。 目的 本研究旨在调查新西兰全科医生和护士以及前驱糖尿病患者对前驱糖尿病及其管理的看法。 方法 这是一项混合定性方法研究，是前驱糖尿病干预的随机对照试验的一部分。 结果 从健康专业人员（GP 和护士）的数据中得出了三个关键主题，从前驱糖尿病患者的数据中得出了另外三个主题。全科医生和护士对前驱糖尿病的进展不确定；他们觉得前驱糖尿病不是优先事项，也不确定该建议什么。前驱糖尿病患者对诊断和提供给他们的信息不确定；他们对如何处理前驱糖尿病不确定，而且他们发现改变生活方式很困难。 讨论 GP、护士和前驱糖尿病患者都表达了很多不确定性，但也对前驱糖尿病有一些确定性。所有人都肯定前驱糖尿病很常见且在增加，持续的生活方式改变非常困难。但对于前驱糖尿病是否真的可以停止、谁最有可能从生活方式干预中受益以及如何最好地实现这些问题存在很大的不确定性。年长的毛利人和太平洋岛民妇女热衷于促进生活方式的改变，这似乎最好通过毛利人和太平洋岛民组织通过共同设计的干预措施来实现。
