伊朗贫民窟居民 2 型糖尿病自我管理的未满足和未察觉需求：一项横断面研究。

Unmet and unperceived needs for type 2 diabetes self-management among slum dwellers in Iran: a cross-sectional study.

机构信息

Department of Health Policy and Management School of Management and medical informatics, Tabriz University of medical sciences, Tabriz, Iran.

Department of Health Services Management, School of Health, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.

出版信息

Prim Health Care Res Dev. 2024 Mar 14;25:e14. doi: 10.1017/S1463423624000045.

DOI:10.1017/S1463423624000045

PMID:38482863

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10940197/

Abstract

AIM

This study aimed to identify unmet and unperceived needs for T2D self-management among those residing in Tabriz slums, Iran, in 2022.

BACKGROUND

Type 2 diabetes (T2D) and its complications are more common among slum dwellers. T2D is a lifelong disease that requires continuous care. By contrast, slum dwellers are less likely to adhere to standard health care.

METHODS

This study is cross-sectional. We included 400 patients using a systematic random sampling method. Unmet and unperceived needs were assessed through a researcher-made questionnaire. The questionnaire was developed based on Iran's Package of Essential Non-Communicable Diseases (IraPEN) instructions and an expert panel. Data were analyzed using SPSS version 22.

FINDINGS

Need for more healthcare cost coverage by insurance organizations (85.5%), financial support to provide medicine (68%), free and accessible sports equipment in the area (48.5%), continuous access to blood sugar test instruments (47.8%), know how to test blood sugar and interpret the results (47.7%), more communication with healthcare providers (42.3%), and detailed education from health professionals (41.2%) were the most common unmet needs. The least perceived need was to know how to care for feet (16%).

摘要

目的

本研究旨在 2022 年确定伊朗大不里士贫民窟居民 T2D 自我管理中未满足和未察觉的需求。

背景

2 型糖尿病（T2D）及其并发症在贫民窟居民中更为常见。T2D 是一种需要持续护理的终身疾病。相比之下，贫民窟居民不太可能遵守标准的医疗保健。

方法

本研究是横断面研究。我们采用系统随机抽样方法纳入了 400 名患者。通过研究者自制的问卷评估未满足和未察觉的需求。该问卷是根据伊朗基本非传染性疾病一揽子计划（IraPEN）的说明和专家小组制定的。使用 SPSS 版本 22 分析数据。

结果

需要保险公司（85.5%）更多地覆盖医疗保健费用、提供药物的财政支持（68%）、在该地区提供免费和可及的运动设备（48.5%）、持续获得血糖测试仪器（47.8%）、了解如何测试血糖并解读结果（47.7%）、与医疗服务提供者进行更多的沟通（42.3%）以及来自卫生专业人员的详细教育（41.2%）是最常见的未满足需求。最未察觉的需求是了解如何护理脚部（16%）。