Factors influencing self-management in patients with type 2 diabetes in general practice: a qualitative study

被引：30

作者：

Dao, Julie ^{[1
]}

Spooner, Catherine ^{[1
]}

Lo, Winston ^{[2
]}

Harris, Mark F. ^{[1
]}

机构：

[1] UNSW Sydney, Ctr Primary Hlth Care & Equ, Level 3,AGSM Bldg,Bot St, Sydney, NSW 2052, Australia

[2] Western Sydney Univ, Sch Med, Bldg 30,Narellan Rd & Gilchrist Dr, Sydney, NSW 2560, Australia

来源：

AUSTRALIAN JOURNAL OF PRIMARY HEALTH | 2019年 / 25卷 / 02期

基金：

加拿大健康研究院;

关键词：

CARE; PERCEPTIONS; INVOLVEMENT; EDUCATION; BARRIERS; SUPPORT; PEOPLE; FAMILY;

D O I：

10.1071/PY18095

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

Many Australian adults with type 2 diabetes mellitus (T2DM) do not follow recommended self-management behaviours that could prevent or delay complications. This exploratory study aimed to investigate the factors influencing self-management of T2DM in general practice. Semi-structured qualitative interviews were conducted with patients with T2DM (n = 10) and their GPs (n = 4) and practice nurses (n = 3) in a low socioeconomic area of Sydney, New South Wales, Australia. The interviews were analysed thematically using the socio-ecological model as a framework for coding. Additional themes were derived inductively based on the explicitly stated meaning of the text. Factors influencing self-management occurred on four levels of the socio-ecological model: individual (e-health literacy, motivation, time constraints); interpersonal (family and friends, T2DM education, patient-provider relationship); organisational (affordability, multidisciplinary care); and community levels (culture, self-management resources). Multi-level strategies are needed to address this wide range of factors that are beyond the scope of single services or organisations. These could include tailoring health education and resources to e-health literacy and culture; attention to social networks and the patient-provider relationship; and facilitating access to affordable on-site allied health services.

引用

页码：176 / 184

页数：9

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