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海湾合作委员会国家2型糖尿病的自我管理行为:加强患者护理的最新叙述性综述

Self-Management Behaviours in Type 2 Diabetes Across Gulf Cooperation Council Countries: An Updated Narrative Review to Enhance Patient Care.

作者信息

Thirunavukkarasu Ashokkumar, Alsaidan Aseel Awad

机构信息

Department of Family and Community Medicine, College of Medicine, Jouf University, Sakaka 72388, Saudi Arabia.

出版信息

Healthcare (Basel). 2025 Sep 8;13(17):2247. doi: 10.3390/healthcare13172247.

DOI:10.3390/healthcare13172247
PMID:40941598
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12428580/
Abstract

: Type 2 diabetes mellitus (T2DM) remains a significant public health problem across Gulf Cooperation Council (GCC) nations because of advancements in urbanization alongside behavioural lifestyle changes and genetic predispositions. Specific self-management methods are fundamental in T2DM management because they provide better glycaemic control and decrease complications. Achieving a synthesis of updated evidence about self-management strategies and patient perception within GCC nations represents the primary objective of this narrative review. : The studies included in the present review were retrieved from the Web of Science, Scopus, Medline, Saudi Digital Library, and Embase. We included peer-reviewed studies that were published from January 2020 to March 2025. The selected studies measured the self-management practices of adult T2DM patients by examining medication adherence, dietary patterns, blood glucose monitoring, and treatment barriers. : Research data indicate that patients demonstrate different levels of self-care management behaviours, where medication compliance is fair, but dietary patterns and physical activities remain areas of concern. High levels of knowledge deficits, cultural elements, and economic background substantially impact patients' self-management practices. Patients indicate their need for enhanced and personalized care, better connections with healthcare providers, and interventions that consider their cultural backgrounds. : Patients throughout the GCC region encounter ongoing difficulties that prevent them from performing their best at self-management, even though advanced healthcare facilities exist in this region. Therefore, it is critical to develop culturally sensitive patient-centered care, individualized educational programs, and adopt supportive digital solutions to enhance diabetes-related self-care management.

摘要

由于城市化进程的推进以及行为生活方式的改变和遗传易感性,2型糖尿病(T2DM)在海湾合作委员会(GCC)国家仍然是一个重大的公共卫生问题。特定的自我管理方法在T2DM管理中至关重要,因为它们能提供更好的血糖控制并减少并发症。在GCC国家实现自我管理策略的最新证据与患者认知的综合,是本叙述性综述的主要目标。

本综述纳入的研究从科学网、Scopus、Medline、沙特数字图书馆和Embase中检索。我们纳入了2020年1月至2025年3月发表的同行评审研究。所选研究通过检查药物依从性、饮食模式、血糖监测和治疗障碍来衡量成年T2DM患者的自我管理实践。

研究数据表明,患者表现出不同水平的自我护理管理行为,其中药物依从性尚可,但饮食模式和体育活动仍是令人担忧的领域。高水平的知识缺陷、文化因素和经济背景对患者的自我管理实践有重大影响。患者表示他们需要强化和个性化的护理、与医疗服务提供者更好的联系以及考虑其文化背景的干预措施。

尽管GCC地区存在先进的医疗设施,但该地区的患者在自我管理方面仍面临持续的困难,无法做到最好。因此,开展具有文化敏感性的以患者为中心的护理、个性化教育项目并采用支持性数字解决方案以加强糖尿病相关的自我护理管理至关重要。

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本文引用的文献

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Patient and Clinician Perspectives on Communication in Primary Care Centres in Qatar-A Focus Group Study.卡塔尔基层医疗中心医患沟通的患者与临床医生观点——一项焦点小组研究
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Assessing intention to use mobile phone-based self-management support among adults with type 2 diabetes in Saudi Arabia: A cross-sectional study.评估沙特阿拉伯2型糖尿病成年人使用基于手机的自我管理支持的意愿:一项横断面研究。
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