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患者视角下的 2 型糖尿病自我管理障碍:一项定性研究。

Patient perspective on barriers in type 2 diabetes self-management: A qualitative study.

机构信息

General Nursing Department, Holy Family Nursing and Midwifery Training College, Techiman, Ghana.

Department of Adult Health, School of Nursing and Midwifery, University of Ghana, Accra, Ghana.

出版信息

Nurs Open. 2023 Oct;10(10):7003-7013. doi: 10.1002/nop2.1956. Epub 2023 Jul 24.

Abstract

AIM

To explore the perceived barriers in Type 2 Diabetes care among patients with diabetes. Design The study adopted a qualitative exploratory-descriptive design.

METHODS

A semi-structured interview guide was used to collect data from fifteen (15) purposively sampled patients with Type 2 Diabetes at a primary level health facility in the Bono East region. Participants' ages ranged between 42-72 years. The interviews were audio-recorded, transcribed verbatim and analysed using thematic content analysis.

RESULTS

Patients with Type 2 Diabetes encountered a range of barriers in diabetes care. These barriers included lack of knowledge of diabetes dietary management strategies, financial constraints, non-compliance to treatment, lack of glucometers, lack of social support, and increased waiting time at health care facilities. The findings indicate that more education on diabetes and dietary management is required as well as social support from peers, family, and non-governmental organizations.

PATIENT OR PUBLIC CONTRIBUTION

Diabetes self-management barriers as revealed by the patients who were participants of this study requires nurses and midwives to ensure that self-management education is well understood by patients and their relatives. This would empower the patients and bring clarity to their confusion about self-care practices.

摘要

目的

探讨 2 型糖尿病患者在糖尿病护理方面的感知障碍。设计:本研究采用定性探索性描述设计。

方法

采用半结构式访谈指南,在博诺东部地区的一家基层卫生机构中,对 15 名(15 名)有 2 型糖尿病的患者进行了有目的的抽样。参与者的年龄在 42-72 岁之间。对访谈进行了录音、逐字转录,并使用主题内容分析法进行了分析。

结果

2 型糖尿病患者在糖尿病护理方面遇到了一系列障碍。这些障碍包括缺乏糖尿病饮食管理策略知识、经济拮据、不遵守治疗规定、缺乏血糖仪、缺乏社会支持以及在医疗机构等待时间增加。研究结果表明,需要对糖尿病和饮食管理进行更多的教育,以及来自同伴、家庭和非政府组织的社会支持。

患者或公众的贡献

本研究参与者揭示的糖尿病自我管理障碍需要护士和助产士确保患者及其家属充分理解自我管理教育。这将使患者有能力,并使他们对自我护理实践的困惑得到澄清。

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