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糖尿病患者及医疗服务提供者对糖尿病生活、治疗与护理的认知:一项定性研究

Perceptions of Patients with Diabetes Mellitus and Health Care Providers of Living with Diabetes and its Treatment and Care: A Qualitative Study.

作者信息

Babak Anahita, Fazli Ali, Keshvari Mahrokh

机构信息

Department of Community and Family Medicine, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran.

Nursing and Midwifery Care Research Center, Department of Community Health and Gerontological Nursing, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.

出版信息

Iran J Nurs Midwifery Res. 2025 Jul 24;30(4):591-599. doi: 10.4103/ijnmr.ijnmr_52_23. eCollection 2025 Jul-Aug.

DOI:10.4103/ijnmr.ijnmr_52_23
PMID:40832490
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12360761/
Abstract

BACKGROUND

Understanding the experiences of patients and health care providers of Diabetes is considered a key element in knowing how to treat and care for the disease. However, few studies have investigated the patients' and health care providers' experiences of diabetes. This study aimed to find how patients with Diabetes and health care providers perceive living with this disease and its treatment and care.

MATERIALS AND METHODS

A descriptive exploratory qualitative research approach was conducted through individual and group interviews with 23 patients with diabetes and health care providers of Isfahan urban health centers in 2020. Purposive sampling was continued until data saturation was reached, and Interview transcripts were analyzed using the conventional content analysis method.

RESULTS

Overall, three themes emerged: disease control facilitators (healthy lifestyle, high levels of health literacy, self-care ability, supporting networks, and effective doctor-patient communication), disease control barriers (inadequate social support, misconceptions, patient burnout, low levels of health literacy, economic problems, inability to self-care, and the patient's non-compliance), and annoying consequences of living with diabetes (emotional and psychological problems, unpleasant experiences, and reduced quality of life).

CONCLUSIONS

Patients with diabetes experience several facilitators and obstacles in controlling their disease and face its complications. There were many myths about treatment. Therefore, health policymakers and planners should plan health-related interventions to remove barriers to disease control and strengthen facilitators for patients with diabetes mellitus.

摘要

背景

了解糖尿病患者和医护人员的经历被认为是知晓如何治疗和护理该疾病的关键要素。然而,很少有研究调查过糖尿病患者和医护人员的经历。本研究旨在了解糖尿病患者和医护人员如何看待患这种疾病及其治疗与护理情况。

材料与方法

2020年,通过对伊斯法罕城市健康中心的23名糖尿病患者和医护人员进行个人访谈和小组访谈,采用了描述性探索性定性研究方法。持续进行目的抽样直至达到数据饱和,并使用常规内容分析法对访谈记录进行分析。

结果

总体而言,出现了三个主题:疾病控制促进因素(健康的生活方式、较高的健康素养、自我护理能力、支持网络以及有效的医患沟通)、疾病控制障碍(社会支持不足、误解、患者倦怠、健康素养水平低、经济问题、无法自我护理以及患者不依从)以及糖尿病生活带来的恼人后果(情绪和心理问题、不愉快的经历以及生活质量下降)。

结论

糖尿病患者在控制疾病方面经历了多种促进因素和障碍,并面临其并发症。关于治疗存在许多误解。因此,卫生政策制定者和规划者应规划与健康相关的干预措施,以消除疾病控制的障碍,并加强对糖尿病患者的促进因素。

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