Understanding the struggle: Unique challenges of adherence in male diabetic patients in Tshwane.

IF 1.2 Q2 MEDICINE, GENERAL & INTERNAL
Refilwe S N Mokoena, Eugene M Makhavhu, Livhuwani Tshivhase
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引用次数: 0

Abstract

Background: Type 2 diabetes prevalence is steadily increasing worldwide, and South Africa is one of the countries in Africa with the highest prevalence of this disease, along with other non-communicable diseases. The adherence to treatment in male patients with type 2 diabetes is influenced by their attitudes towards medication and how they perceive their condition. To some extent, these factors impact the treatment outcomes for patients undergoing type 2 diabetes treatment. The purpose of this study was to investigate the perceptions of male patients with type 2 diabetes on their adherence to diabetic therapy. The study was conducted in the clinics of the City of Tshwane Metropolitan municipality in Gauteng.

Methods: This study followed a qualitative, exploratory design. Data were gathered from 15 male patients who were purposefully sampled through in-person, one-on-one interviews with the principal investigator. The eight steps outlined by Tesch were used to analyse the participant data.

Results: Emergent themes indicated that there were barriers to adherence to diabetic treatment and also factors that promoted adherence to diabetic treatment among the participants. Several factors were found to affect treatment uptake among the participants.

Conclusion: Patients demonstrated various reactions to diabetic treatment, highlighting the need for reinforcing education at the time of diagnosis and treatment initiation. Additionally, regular patient follow-up may be essential to improve adherence among patients.Contribution: The study highlights the importance of health promotion and the need to develop materials for medication-specific counselling for patients receiving diabetic treatment, in order to promote adherence.

了解斗争:茨瓦内男性糖尿病患者在坚持治疗方面面临的独特挑战。
背景: 2 型糖尿病的发病率在全球范围内稳步上升,南非是非洲 2 型糖尿病和其他非传染性疾病发病率最高的国家之一。男性 2 型糖尿病患者坚持治疗的情况受到他们对药物治疗的态度和对自身病情的看法的影响。这些因素在一定程度上影响着 2 型糖尿病患者的治疗效果。本研究旨在调查 2 型糖尿病男性患者对坚持糖尿病治疗的看法。研究在豪滕省茨瓦内市的诊所进行: 本研究采用定性、探索性设计。通过与主要研究人员进行一对一的面谈,有目的地从 15 名男性患者中抽取样本,收集数据。研究采用了 Tesch 概述的八个步骤来分析参与者的数据: 新出现的主题表明,参与者在坚持糖尿病治疗方面存在障碍,同时也存在促进坚持糖尿病治疗的因素。结论:患者对糖尿病治疗的反应各不相同: 患者对糖尿病治疗的反应各不相同,这突出表明在诊断和开始治疗时加强教育的必要性。此外,定期对患者进行随访可能对提高患者的依从性至关重要:贡献:这项研究强调了健康促进的重要性,以及为接受糖尿病治疗的患者编写特定药物咨询材料以促进患者坚持治疗的必要性。
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来源期刊
South African Family Practice
South African Family Practice MEDICINE, GENERAL & INTERNAL-
CiteScore
1.50
自引率
20.00%
发文量
79
审稿时长
25 weeks
期刊介绍: South African Family Practice (SAFP) is a peer-reviewed scientific journal, which strives to provide primary care physicians and researchers with a broad range of scholarly work in the disciplines of Family Medicine, Primary Health Care, Rural Medicine, District Health and other related fields. SAFP publishes original research, clinical reviews, and pertinent commentary that advance the knowledge base of these disciplines. The content of SAFP is designed to reflect and support further development of the broad basis of these disciplines through original research and critical review of evidence in important clinical areas; as well as to provide practitioners with continuing professional development material.
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