Campbell David J T, Ghuttora Harleen, Mladenovic Ana, Smith Jordan, Leigh Ryan, Desveaux Laura, Ivers Noah, Manns Braden, Tonelli Marcello, Naugler Christopher, Hemmelgarn Brenda, McBrien Kerry A
Department of Medicine, Cumming School of Medicine University of Calgary, Calgary, Alberta, Canada.
Department of Community Health Sciences, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada.
Clin Diabetes. 2022 Summer;40(3):283-296. doi: 10.2337/cd21-0060.
This study analyzed patient-described barriers and facilitators related to diabetes management, focusing on how these differ by glycemia and across individual characteristics. A cross-sectional telephone survey was conducted with adult patients with diabetes in Alberta, Canada, asking two open-ended questions to describe the most helpful and difficult components of their diabetes management. Responses were analyzed using directed content analysis using the Theoretical Domains Framework as a template. The most frequently cited facilitator was care context and information, and the most frequently cited barriers were cognitive challenges and structural barriers, with patient-perceived barriers and facilitators varying by individual-level factors.
本研究分析了患者描述的与糖尿病管理相关的障碍和促进因素,重点关注这些因素在血糖水平以及个体特征方面的差异。对加拿大艾伯塔省的成年糖尿病患者进行了一项横断面电话调查,询问了两个开放式问题,以描述他们糖尿病管理中最有帮助和最困难的部分。以理论领域框架为模板,采用定向内容分析法对回答进行了分析。最常被提及的促进因素是护理环境和信息,最常被提及的障碍是认知挑战和结构障碍,患者感知到的障碍和促进因素因个体层面的因素而异。