School of Nursing, Nanjing Medical University, Nanjing, China.
The Nethersole School of Nursing, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong Special Administrative Region of China.
Prim Care Diabetes. 2023 Dec;17(6):587-594. doi: 10.1016/j.pcd.2023.08.006. Epub 2023 Aug 31.
The aim of this study was to explore the experience of self-management and glycaemic control in Chinese people with type 2 diabetes receiving insulin injection therapy.
A qualitative descriptive design was adopted with individual, semi-structured interviews. Participants were selected by purposive sampling. All face-to-face interviews were conducted between December 2020 and January 2021. The interviews were audio recorded and transcribed verbatim. Content analysis was used to analyse the interview data.
A total of 27 participants were recruited and individually interviewed. Three themes were generated: integrating insulin injection therapy into daily self-management; experiencing uncertainty when coping with suboptimal glycaemic control; and self-management programmes for optimal diabetes control.
All of our findings increase the understanding of self-management and glycaemic control in people with T2D receiving insulin injection therapy. Healthcare professionals should recognise the unmet needs of this cohort to promote their diabetes management. Appropriate and effective self-management programmes should be developed and implemented to alleviate the negative impacts of insulin injection therapy on diabetes management with consideration of cultural and personal context.
本研究旨在探讨接受胰岛素注射治疗的中国 2 型糖尿病患者的自我管理体验和血糖控制情况。
采用定性描述设计，采用个体半结构化访谈。参与者通过目的性抽样选择。所有面对面访谈均在 2020 年 12 月至 2021 年 1 月之间进行。访谈进行了录音，并逐字转录。采用内容分析法对访谈数据进行分析。
共招募了 27 名参与者进行个体访谈。得出了三个主题：将胰岛素注射治疗融入日常自我管理中；在应对血糖控制不佳时感到不确定；以及用于最佳糖尿病控制的自我管理方案。
我们的所有发现都增加了对接受胰岛素注射治疗的 2 型糖尿病患者自我管理和血糖控制的理解。医疗保健专业人员应认识到这一人群的未满足需求，以促进他们的糖尿病管理。应制定和实施适当且有效的自我管理方案，以减轻胰岛素注射治疗对糖尿病管理的负面影响，同时考虑文化和个人背景。
