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科威特 2 型糖尿病患者的信息行为:扎根理论研究。

Information behaviours of people with type 2 diabetes in Kuwait: a grounded theory study.

机构信息

Leeds Beckett University, Leeds, UK.

Al Dabbus Cardiac Centre Al Adan, Adan Hospital, Hadiya, Kuwait.

出版信息

BMC Prim Care. 2024 Sep 4;25(1):326. doi: 10.1186/s12875-024-02577-0.

Abstract

BACKGROUND

Relative to country-specific epidemiological trends, Kuwait experiences a far greater burden of type 2 diabetes among its population. Information behaviours form a significant component of self-care management for patients diagnosed with type 2 diabetes, however this remains an understudied aspect of disease management. This study aims to investigate the information behaviours of patients with type 2 diabetes in Kuwait, and characterise the methods employed to manage their disease.

METHODS

This qualitative study employed a grounded theory method. Semi-structured interviews were conducted with twenty-seven participants over three phases of data collection in primary, secondary and tertiary healthcare settings across Kuwait. These were complemented by in-depth interviews to detail the information behaviours of these participants. The interviews were translated where appropriate, transcripts, and analysed through qualitative coding to synthesise the information behaviour patterns.

RESULTS

The findings demonstrated that living with type 2 diabetes involved a range of developmental and transformative stages, including changes to the patients' emotional state, reconstruction of their lifestyle and identity, and changes in the ways they find and use information. Living with the chronic condition was viewed as a dynamic and transitional process, where patients' information behaviours continually changed throughout the process across various identifiable stages. This dynamic pattern was reflected most prominently across the participants' behavioural needs, sources and information-seeking patterns.

CONCLUSION

Patients with type 2 diabetes continuously adapted their information behaviours to optimise the self-management of their condition across a relatively predictable pattern. Greater understanding of these behaviours across a wider population would improve the provision of clinical care for patients with diabetes.

摘要

背景

与特定国家的流行病学趋势相比,科威特的 2 型糖尿病负担更为沉重。信息行为是 2 型糖尿病患者自我护理管理的重要组成部分,但这仍然是疾病管理中一个研究不足的方面。本研究旨在调查科威特 2 型糖尿病患者的信息行为,并描述用于管理其疾病的方法。

方法

本定性研究采用扎根理论方法。在科威特的初级、二级和三级医疗保健机构中,对 27 名参与者进行了三轮半结构化访谈。在这些访谈的基础上,进行了深入访谈,详细描述了这些参与者的信息行为。对适当的访谈进行了翻译,对转录本进行了定性编码分析,以综合信息行为模式。

结果

研究结果表明,患有 2 型糖尿病涉及一系列发展和转型阶段,包括患者情绪状态的变化、生活方式和身份的重建,以及他们寻找和使用信息的方式的变化。患有慢性疾病被视为一个动态和过渡的过程,在此过程中,患者的信息行为在各个可识别的阶段不断变化。这种动态模式在患者的行为需求、信息来源和信息搜索模式上最为明显。

结论

2 型糖尿病患者不断调整其信息行为,以优化其病情的自我管理,呈现出相对可预测的模式。更广泛的人群对这些行为的了解将改善对糖尿病患者的临床护理。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4919/11373242/aaa808cd8848/12875_2024_2577_Fig1_HTML.jpg

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