农村2型糖尿病老年患者血糖监测依从性的质性研究
Qualitative research on compliance of blood glucose monitoring in elderly patients with type 2 diabetes in rural areas
摘要目的 了解影响农村2型糖尿病患者血糖监测依从性的患者因素,为提高患者血糖监测依从性提供依据.方法 采用质性研究中现象学研究的方法,对43例农村2型糖尿病血糖依从性较差的患者进行深度半结构式访谈,对采集资料进行类属分析.结果 提炼出5个主题:不良体验影响依从性;缺乏血糖监测的相关知识;经济和时间的不充裕;对主观感受的依赖;社会支持的不确定性.结论 农村2型糖尿病患者血糖监测状况不容乐观,为了提高患者的血糖监测依从性,应关注农村2型糖尿病患者血糖监测知识的掌握程度,改进血糖监测方法技术,改善患者体验,充分发挥患者家属、家庭医生等人员的社会支持作用,努力提高患者血糖监测依从性.
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abstractsObjective To understand the factors affecting the compliance of blood glucose monitoring in patients with type 2 diabetes in rural areas, and to provide evidence for improving the compliance of patients with blood glucose monitoring. Methods A method of phenomenological study in qualitative research was conducted to conduct deep semi-structured interviews on 43 patients with poor blood glucose compliance in type 2 diabetes in rural areas, and to analyze the collected data. Results Extracted five themes: bad experience affected compliance; lack of knowledge about blood glucose monitoring; economic and time was not sufficient; "long-term illness into a good doctor" overconfidence;social support uncertainty. Conclusions The status of blood glucose monitoring in rural type 2 diabetes patients is not optimistic. In order to improve the compliance of patients with blood glucose monitoring, nursing workers should pay attention to the mastery of blood glucose monitoring knowledge in rural type 2 diabetes patients, improve blood glucose monitoring methods and techniques, and give full play to the role of family doctors. Efforts to improve patient blood glucose monitoring compliance.
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