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2型糖尿病患者与健康相关的拖延类型:一项质性内容分析

Types of health-related procrastination in patients with type-2 diabetes: a qualitative content analysis.

作者信息

Shareinia Habib, Ghiyasvandian Shahrzad, Rooddehghan Zahra, Esteghamati Alireza

机构信息

Department of Medical-Surgical Nursing and Basic Sciences, School of Nursing & Midwifery, Tehran University of Medical Sciences, Tehran, Iran.

Department of Internal Medicine, School of Medicine, Professor of Endocrinology & Metabolism, Tehran University of Medical Sciences, Tehran, Iran.

出版信息

J Diabetes Metab Disord. 2022 Sep 16;21(2):1509-1517. doi: 10.1007/s40200-022-01092-2. eCollection 2022 Dec.

DOI:10.1007/s40200-022-01092-2
PMID:36158709
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9483280/
Abstract

BACKGROUND AND OBJECTIVES

Health-related procrastination refers to a delay in the performance of health-related activities, which is a rather neglected subject despite being critical. Due to the adverse effects of procrastination on the care and treatment of patients with type-2 diabetes, it is necessary to explore procrastination among this group of patients through in-depth studies. The present research was conducted to explain different types of health-related procrastination in patients with type-2 diabetes.

MATERIALS AND METHODS

This qualitative study applied content analysis with 13 patients with type-2 diabetes selected via purposive sampling. Data were collected through individual and semi-structured interviews. The data were then analyzed using Lundman and Graneheim content analysis method.

FINDINGS

Based on the analysis of the data, instances of health-related procrastination in patients with type-2 diabetes were classified into six main categories, including minimizing self-care, poor adherence to treatment, poor nutritional habits, poor adherence to drug regimen, disregard for disease monitoring, and a sedentary lifestyle.

CONCLUSIONS

The results of this study provide an in-depth understanding of the various forms of health-related procrastination in patients with type-2 diabetes. These findings can be employed in the design, implementation, and monitoring of treatment and care programs targeting these patients.

摘要

背景与目的

与健康相关的拖延是指在开展与健康相关活动方面的延迟,尽管这一问题至关重要,但却相当被忽视。由于拖延对2型糖尿病患者的护理和治疗有不利影响,因此有必要通过深入研究来探究该群体中的拖延现象。本研究旨在阐释2型糖尿病患者中与健康相关的不同类型的拖延行为。

材料与方法

本定性研究采用内容分析法,通过目的抽样选取了13名2型糖尿病患者。数据通过个体和半结构化访谈收集。然后使用伦德曼和格拉内海姆的内容分析法对数据进行分析。

研究结果

基于数据分析,2型糖尿病患者中与健康相关的拖延行为实例被分为六大类,包括自我护理最小化、治疗依从性差、营养习惯不良、药物治疗方案依从性差、忽视疾病监测以及久坐不动的生活方式。

结论

本研究结果深入揭示了2型糖尿病患者中与健康相关的拖延行为的各种形式。这些发现可用于针对这些患者的治疗和护理项目的设计、实施及监测。