Nurse-led family-based approach in primary health care for patients with type 2 diabetes mellitus: a qualitative study.

IF 2.1 4区医学 Q2 NURSING

International Journal of Qualitative Studies on Health and Well-Being Pub Date : 2024-12-01 Epub Date: 2024-03-06 DOI:10.1080/17482631.2024.2323060

Khadija A Matrook, Seamus Cowman, Maria Pertl, David Whitford

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引用次数: 0

Abstract

Purpose: The prevalence of Type 2 diabetes is rapidly increasing, with 537 million people estimated to have diabetes in 2021. The literature suggests that nurses can deliver effective person-centred diabetes care and that families can be essential in supporting patients. Thus, a Nurse-led Family-based (NLFB) approach may be particularly effective. This study aims to explore the perceptions of nurses, adults with type 2 diabetes, and family members regarding the NLFB intervention.

Methods: Guided by the UK Medical Research Council Framework, this seminal study adopted a qualitative, descriptive approach with content analysis. Data were obtained through 16 semi-structured, in-depth interviews. Themes emerged based on an inductive process using constant comparison (Graneheim and Lundman 2004). The COREQ checklist was used in ensuring rigour.

Results: Three main themes emerged includes: (1) nurses' experiences with current diabetes care practices, (2) stakeholders' views on the development of a NLFB approach, and (3) merging the nurse-led family aspects into the diabetes care. The key challenges are the dominant medical model, lack of specialist nurses, and time. The key facilitators are knowledge and social support.

Conclusion: The study recommends stakeholders embrace nursing empowerment strategies and involve families to enhance the nurses' advanced roles and family inclusion in healthcare.

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针对 2 型糖尿病患者的初级卫生保健中以护士为主导的家庭为基础的方法：一项定性研究。

目的：2 型糖尿病的发病率正在迅速上升，预计到 2021 年将有 5.37 亿人患有糖尿病。文献表明，护士可以提供有效的以人为本的糖尿病护理，而家庭在支持患者方面至关重要。因此，以护士为主导、以家庭为基础（NLFB）的方法可能特别有效。本研究旨在探讨护士、2 型糖尿病成人患者及家庭成员对 NLFB 干预的看法：在英国医学研究委员会框架的指导下，这项开创性研究采用了内容分析的定性描述方法。通过 16 个半结构化深度访谈获得数据。主题是通过不断比较的归纳过程产生的（Graneheim 和 Lundman，2004 年）。为确保严谨性，采用了 COREQ 核对表：出现的三大主题包括(1) 护士对当前糖尿病护理实践的经验，(2) 利益相关者对发展无障碍家庭护理方法的看法，(3) 将护士主导的家庭护理融入糖尿病护理。主要挑战是医疗模式占主导地位、缺乏专科护士和时间。关键的促进因素是知识和社会支持：本研究建议利益相关者采用护理赋权策略，并让家庭参与进来，以加强护士的先进角色和家庭在医疗保健中的融入。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Journal of Qualitative Studies on Health and Well-Being Multiple-

CiteScore

3.20

自引率

5.60%

发文量

审稿时长

14 weeks

期刊介绍： International Journal of Qualitative Studies on Health and Well-being acknowledges the international and interdisciplinary nature of health-related issues. It intends to provide a meeting-point for studies using rigorous qualitative methodology of significance for issues related to human health and well-being. The aim of the International Journal of Qualitative Studies on Health and Well-being is to support and to shape the emerging field of qualitative studies and to encourage a better understanding of all aspects of human health and well-being.