从患者视角理解糖尿病：一项关于印度拉贾斯坦邦城市地区经历与结果的混合方法研究。
Understanding Diabetes Through the Patients' Lens: A Mixed-Methods Study on Experiences and Outcomes in Urban Areas of Rajasthan, India.
作者信息
Huda Ramesh K, Singh Jayvardhan, Sangwan Ramesh Kumar, Kumar Pankaj, Mandhana Laxmikant, Kumar Manoj, Babu Bontha V
机构信息
Department of Information Technology, National Institute for Implementation Research on Non-Communicable Diseases, Indian Council of Medical Research, Jodhpur, IND.
Division of Socio-Behavioural, Health Systems and Implementation Research, Indian Council of Medical Research, New Delhi, IND.
出版信息
Cureus. 2025 Mar 26;17(3):e81218. doi: 10.7759/cureus.81218. eCollection 2025 Mar.
OBJECTIVE
This study aimed to explore the diverse experiences and management strategies of individuals with type 2 diabetes mellitus (T2DM).
METHODS
Participants diagnosed with T2DM were recruited from the Urban Primary Community Health Center, Jodhpur city, India. Quantitative data were collected, focusing on their diabetes management routines, interactions with healthcare systems, and personal and social challenges, followed by HbA1c and other vital parameters. Qualitative data included in-depth interviews. Thematic analysis was performed independently by two researchers using NVivo® software (Lumivero, Burlington, MA).
RESULTS
One hundred forty patients (with a mean age of 56.81 ± 10.70 SD years, 62.9% men and 37.1% women) were recruited for the quantitative survey. The average waist circumference was 98.40 cm (SD = 10.53). A notable percentage of individuals (39.3%) had a BMI ranging from 25 to 29.9, and the average HbA1c level was 8.90% (SD = 2.08). The qualitative data analysis identified five themes, highlighting the need for improved diabetes management and health literacy for T2DM.
CONCLUSION
The diverse experiences of individuals with T2DM emphasize the need for improved management and health literacy. Addressing personal and social challenges and optimizing healthcare interactions can enhance patient outcomes, underscoring the importance of patient-centered interventions in diabetes care.
目的
本研究旨在探索2型糖尿病（T2DM）患者的多样经历及管理策略。
方法
从印度焦特布尔市城市初级社区卫生中心招募被诊断为T2DM的参与者。收集定量数据，重点关注他们的糖尿病管理常规、与医疗系统的互动以及个人和社会挑战，随后检测糖化血红蛋白（HbA1c）和其他重要参数。定性数据包括深入访谈。两名研究人员使用NVivo®软件（Lumivero，马萨诸塞州伯灵顿）独立进行主题分析。
结果
140名患者（平均年龄56.81±10.70标准差岁，男性占62.9%，女性占37.1%）被纳入定量调查。平均腰围为98.40厘米（标准差=10.53）。相当比例的个体（39.3%）体重指数（BMI）在25至29.9之间，平均HbA1c水平为8.90%（标准差=2.08）。定性数据分析确定了五个主题，突出了改善T2DM患者糖尿病管理和健康素养的必要性。
结论
T2DM患者的多样经历强调了改善管理和健康素养的必要性。应对个人和社会挑战并优化医疗互动可改善患者预后，凸显了以患者为中心的干预措施在糖尿病护理中的重要性。
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