使用17世纪的药物进行现代糖尿病管理：医生对自我用药行为的看法——一项定性研究。
Using 17 century medication for modern diabetes management: Doctors' perceptions of self-medication practices - A qualitative study.
作者信息
Puvvada Rahul Krishna, Tang Clarice Y, Thomas Jency, Kay Mitch, Higgs Peter, Jois Markandeya, Madhan Ramesh, Gupta Sabrina
机构信息
Department of Microbiology Anatomy Physiology and Pharmacology (MAPP), School of Agriculture Biomedicine and Environment (SABE), La Trobe University, Melbourne, Australia.
Department of Pharmacy Practice, JSS College of Pharmacy, JSS Academy of Higher Education and Research, Mysuru, Karnataka India.
出版信息
J Diabetes Metab Disord. 2022 Nov 12;22(1):375-383. doi: 10.1007/s40200-022-01154-5. eCollection 2023 Jun.
PURPOSE
This study was conducted to explore doctors' perceptions and understanding of the self-medication practices of people living with type 2 diabetes.
METHODS
A qualitative research design incorporating 20 semi-structured, face-to-face interviews were conducted with doctors treating people with type 2 diabetes in Mysuru, India, between July 2019 and January 2020. All the interviews were conducted in doctors' clinics, audio-recorded and thematically analyzed.
RESULTS
Three themes were identified from these interviews- i) Doctors' beliefs towards their patients' use of traditional medicine and environmental factors influencing prescription practices, ii) Doctors reported little faith in traditional medicines, iii) Limited strategies implemented by doctors to overcome barriers to self-medications. Doctors reported greater belief in western medications over traditional medications and expressed concern that their patients favored traditional medications over western. Multiple factors such as social media, accessibility of healthcare facilities and pill burden influenced adherence to western medications. Also, lack of knowledge about traditional medications and trust in western medications available under government schemes have influenced prescription practices among doctors. It appears that doctors implemented strategies such as educating patients on the detrimental effects of self-medication and insisting on patients to take only western medications to achieve desired blood glucose levels when managing self-medication practices among people with diabetes.
CONCLUSION
These results suggest that doctors have limited strategies to implement to prevent self-medication practices among people with diabetes. Increasing knowledge amongst doctors about JAS medication effectiveness and thereby garnering greater trust in generic medications. In addition, efforts should be made to identify the best ways to integrate traditional and western medicine into patient-centered care delivery.
SUPPLEMENTARY INFORMATION
The online version contains supplementary material available at 10.1007/s40200-022-01154-5.
目的
本研究旨在探讨医生对2型糖尿病患者自我药疗行为的看法和理解。
方法
采用定性研究设计，于2019年7月至2020年1月期间，在印度迈索尔对治疗2型糖尿病患者的医生进行了20次半结构化面对面访谈。所有访谈均在医生诊所进行，进行了录音并进行了主题分析。
结果
从这些访谈中确定了三个主题——i）医生对患者使用传统药物的看法以及影响处方行为的环境因素，ii）医生对传统药物的信任度较低，iii）医生为克服自我药疗障碍所采取的策略有限。医生表示，相较于传统药物，他们更相信西药，并对患者更喜欢传统药物而非西药表示担忧。社交媒体、医疗设施的可及性和服药负担等多种因素影响了对西药的依从性。此外，对传统药物缺乏了解以及对政府计划下可用西药的信任影响了医生的处方行为。在管理糖尿病患者的自我药疗行为时，医生似乎采取了一些策略，如教育患者自我药疗的有害影响，并坚持患者只服用西药以达到理想的血糖水平。
结论
这些结果表明，医生在预防糖尿病患者自我药疗行为方面可采取的策略有限。应增加医生对JAS药物有效性的了解，从而提高对仿制药的信任度。此外，应努力确定将传统医学和西医整合到以患者为中心的护理服务中的最佳方法。
补充信息
在线版本包含可在10.1007/s40200-022-01154-5获取的补充材料。
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