Unmet and unperceived needs for type 2 diabetes self-management among slum dwellers in Iran: a cross-sectional study.

Fawzieh Ghammari, Habib Jalilian, Masumeh Gholizadeh
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Abstract

Aim: This study aimed to identify unmet and unperceived needs for T2D self-management among those residing in Tabriz slums, Iran, in 2022.

Background: Type 2 diabetes (T2D) and its complications are more common among slum dwellers. T2D is a lifelong disease that requires continuous care. By contrast, slum dwellers are less likely to adhere to standard health care.

Methods: This study is cross-sectional. We included 400 patients using a systematic random sampling method. Unmet and unperceived needs were assessed through a researcher-made questionnaire. The questionnaire was developed based on Iran's Package of Essential Non-Communicable Diseases (IraPEN) instructions and an expert panel. Data were analyzed using SPSS version 22.

Findings: Need for more healthcare cost coverage by insurance organizations (85.5%), financial support to provide medicine (68%), free and accessible sports equipment in the area (48.5%), continuous access to blood sugar test instruments (47.8%), know how to test blood sugar and interpret the results (47.7%), more communication with healthcare providers (42.3%), and detailed education from health professionals (41.2%) were the most common unmet needs. The least perceived need was to know how to care for feet (16%).

伊朗贫民窟居民对 2 型糖尿病自我管理的未满足和未感知需求:一项横断面研究。
目的:本研究旨在确定 2022 年居住在伊朗大不里士贫民窟的人在 2 型糖尿病自我管理方面未得到满足和未意识到的需求:背景:2 型糖尿病(T2D)及其并发症在贫民窟居民中更为常见。2 型糖尿病是一种终身疾病,需要持续护理。相比之下,贫民窟居民不太可能坚持接受标准的医疗保健:本研究为横断面研究。方法:本研究为横断面研究,采用系统随机抽样方法纳入 400 名患者。通过研究人员自制的问卷对未满足和未感知的需求进行了评估。该问卷是根据伊朗基本非传染性疾病一揽子方案(IraPEN)的说明和专家小组的意见编制的。数据使用 SPSS 22.0 版进行分析:未满足的需求中最常见的是需要保险机构提供更多的医疗费用保障(85.5%)、提供药品的财政支持(68%)、在该地区免费提供运动器材(48.5%)、持续提供血糖检测仪器(47.8%)、知道如何检测血糖和解释结果(47.7%)、与医疗服务提供者进行更多的沟通(42.3%)以及医疗专业人员提供详细的教育(41.2%)。认为最少的需求是知道如何护理双脚(16%)。
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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