An Interpretive Descriptive Study on Exploring Barriers to, and Facilitators of, Diabetes Self-management: Perspectives From Dialysis Patients With Diabetes

IF 2.7 4区医学 Q3 ENDOCRINOLOGY & METABOLISM

Canadian Journal of Diabetes Pub Date : 2026-07-01 Epub Date: 2026-03-10 DOI:10.1016/j.jcjd.2026.02.006

Kokab Younis RN, BN, MN, CNeph(C), CCNE, Graham McCaffrey RN, PhD, Kathryn King Shier RN, PhD, Shelley Raffin Bouchal RN, PhD, Robert R. Quinn MD, PhD

{"title":"An Interpretive Descriptive Study on Exploring Barriers to, and Facilitators of, Diabetes Self-management: Perspectives From Dialysis Patients With Diabetes","authors":"Kokab Younis RN, BN, MN, CNeph(C), CCNE, Graham McCaffrey RN, PhD, Kathryn King Shier RN, PhD, Shelley Raffin Bouchal RN, PhD, Robert R. Quinn MD, PhD","doi":"10.1016/j.jcjd.2026.02.006","DOIUrl":null,"url":null,"abstract":"<div><h3>Objectives</h3><div>Self-management is a key component of optimal diabetes treatment. Patients with coexistent diabetes and kidney failure that requires dialysis have an additional health burden, which complicates self-management practices. Limited studies have explored barriers and facilitators using qualitative methodology for patients in the context of kidney failure on dialysis. Our aim in this study was to understand barriers and facilitators to diabetes self-management among patients with kidney failure requiring dialysis therapy.</div></div><div><h3>Methods</h3><div>An interpretive descriptive methodology was used to address the study objective. We conducted semistructured interviews with 14 participants.</div></div><div><h3>Results</h3><div>Fourteen participants (7 men and 7 women), 45 to 84 years of age, participated in semistructured interviews. Analysis of 14 interviews identified perceived barriers to diabetes self-management that covered the following 5 themes: lesser stability and comfort; shortage of financial resources; physical limitations; health-care access and navigation; and medical complexity. Facilitators were grouped into 3 themes: greater health literacy and empowerment; supportive social environment; and motivation and optimism.</div></div><div><h3>Conclusions</h3><div>Findings from this study highlight the importance of further research in this domain to mitigate barriers and leverage facilitators, and to guide resource allocation to improve diabetes care and self-management education and support among patients with diabetes and on dialysis therapy.</div></div>","PeriodicalId":9565,"journal":{"name":"Canadian Journal of Diabetes","volume":"50 5","pages":"Pages 287-295.e1"},"PeriodicalIF":2.7000,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Canadian Journal of Diabetes","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1499267126000444","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2026/3/10 0:00:00","PubModel":"Epub","JCR":"Q3","JCRName":"ENDOCRINOLOGY & METABOLISM","Score":null,"Total":0}

引用次数: 0

Abstract

Objectives

Self-management is a key component of optimal diabetes treatment. Patients with coexistent diabetes and kidney failure that requires dialysis have an additional health burden, which complicates self-management practices. Limited studies have explored barriers and facilitators using qualitative methodology for patients in the context of kidney failure on dialysis. Our aim in this study was to understand barriers and facilitators to diabetes self-management among patients with kidney failure requiring dialysis therapy.

Methods

An interpretive descriptive methodology was used to address the study objective. We conducted semistructured interviews with 14 participants.

Results

Fourteen participants (7 men and 7 women), 45 to 84 years of age, participated in semistructured interviews. Analysis of 14 interviews identified perceived barriers to diabetes self-management that covered the following 5 themes: lesser stability and comfort; shortage of financial resources; physical limitations; health-care access and navigation; and medical complexity. Facilitators were grouped into 3 themes: greater health literacy and empowerment; supportive social environment; and motivation and optimism.

Conclusions

Findings from this study highlight the importance of further research in this domain to mitigate barriers and leverage facilitators, and to guide resource allocation to improve diabetes care and self-management education and support among patients with diabetes and on dialysis therapy.

查看原文本刊更多论文

一项探讨糖尿病自我管理障碍和促进因素的解释性描述性研究：来自糖尿病透析患者的观点。

目的：自我管理是糖尿病最佳管理的关键组成部分。同时患有糖尿病和肾衰竭需要透析治疗的患者有额外的健康负担，使自我管理实践复杂化。有限的研究探索了在透析肾衰竭患者中使用定性方法的障碍和促进因素。本研究的目的是了解需要透析治疗的肾衰竭患者糖尿病自我管理的障碍和促进因素。方法：采用解释性描述方法来解决研究目标。我们对14名参与者进行了半结构化访谈。研究结果：14名参与者（7男7女），年龄45 - 84岁，参加了半结构化访谈。对14个访谈的分析发现，糖尿病自我管理的障碍包括五个主题：稳定性和舒适性较差、财政资源短缺、身体限制、医疗保健获取和导航以及医疗复杂性。促进者被分为三个主题：提高卫生知识和增强权能、支持性社会环境、激励和乐观。结论：本研究的发现强调了在该领域进一步研究的重要性，以减轻障碍和利用促进因素，并指导资源分配，以改善糖尿病透析患者的糖尿病护理和自我管理教育和支持。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Canadian Journal of Diabetes ENDOCRINOLOGY & METABOLISM-

CiteScore

4.80

自引率

4.00%

发文量

130

审稿时长

54 days

期刊介绍： The Canadian Journal of Diabetes is Canada''s only diabetes-oriented, peer-reviewed, interdisciplinary journal for diabetes health-care professionals. Published bimonthly, the Canadian Journal of Diabetes contains original articles; reviews; case reports; shorter articles such as Perspectives in Practice, Practical Diabetes and Innovations in Diabetes Care; Diabetes Dilemmas and Letters to the Editor.