Chronic Illness最新文献_第2页

Vitamin B12 deficiency in long-term metformin treated type 2 diabetic patients: Prevalence and risk factors in a Tunisian population. 长期二甲双胍治疗的2型糖尿病患者维生素B12缺乏症：突尼斯人群的患病率和危险因素

IF 1.8 4区医学

Chronic Illness Pub Date : 2024-12-01 Epub Date: 2023-06-19 DOI: 10.1177/17423953231184220

Meriem Yazidi, Elyes Kamoun, Sameh Hadj Taieb, Ons Rejeb, Sonia Mahjoub, Sellami Maryam, Moncef Feki, Ibtissem Oueslati, Melika Chihaoui

{"title":"Vitamin B12 deficiency in long-term metformin treated type 2 diabetic patients: Prevalence and risk factors in a Tunisian population.","authors":"Meriem Yazidi, Elyes Kamoun, Sameh Hadj Taieb, Ons Rejeb, Sonia Mahjoub, Sellami Maryam, Moncef Feki, Ibtissem Oueslati, Melika Chihaoui","doi":"10.1177/17423953231184220","DOIUrl":"10.1177/17423953231184220","url":null,"abstract":"Objectives: To determine the prevalence of vitamin B12 deficiency in a Tunisian population with type 2 diabetes (T2D) on metformin treatment for more than three years and to identify its risk factors. Methods: This is a cross-sectional study conducted on 257 patients with T2D treated with metformin for at least three years. Patients were divided into two groups according to their vitamin B12 status. Low vitamin B12 was defined as ≤ 203 pg/mL. Results: The mean age of the patients was 59.8 ± 7.9 years. The mean duration of metformin use was 10.2 ± 5.2 years. The mean vitamin B12 level was 294.9 ± 156.4 pg/mL. The prevalence of vitamin B12 deficiency was 28.4%. Male gender, HbA1c < 7% and hyperhomocysteinemia were significantly associated with vitamin B12 deficiency (respectively p = 0.02, p < 0.001, p < 0.001). Homocysteine level was negatively correlated with vitamin B12 level (r = -0.2, p = 0.001). Dose and duration of metformin treatment, peripheral neuropathy and anemia were not associated with vitamin B12 deficiency. On multivariate analysis, HbA1c < 7% and hyperhomocysteinemia were independently associated with vitamin B12 deficiency (respectively OR = 3.2, 95%CI = [1.6-6.3] and OR = 2.3, 95%CI = [1.2-4.2]). Discussion: The prevalence of vitamin B12 deficiency in patients with T2D on metformin treatment was high. Hyperhomocysteinemia is associated with vitamin B12 deficiency suggesting that the deficit occurs at the tissue level.","PeriodicalId":48530,"journal":{"name":"Chronic Illness","volume":" ","pages":"631-639"},"PeriodicalIF":1.8,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10037572","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Barriers and facilitators of self-management behaviors among patients with chronic obstructive pulmonary disease and chronic comorbidities: A mixed-methods investigation. 慢性阻塞性肺疾病和慢性合并症患者自我管理行为的障碍和促进因素：一项混合方法调查

IF 1.8 4区医学

Chronic Illness Pub Date : 2024-12-01 Epub Date: 2023-07-06 DOI: 10.1177/17423953231187172

Kimberly A Muellers, Rachel O'Conor, Andrea M Russell, Guisselle Wismer, James W Griffith, Michael S Wolf, Juan P Wisnivesky, Alex D Federman

{"title":"Barriers and facilitators of self-management behaviors among patients with chronic obstructive pulmonary disease and chronic comorbidities: A mixed-methods investigation.","authors":"Kimberly A Muellers, Rachel O'Conor, Andrea M Russell, Guisselle Wismer, James W Griffith, Michael S Wolf, Juan P Wisnivesky, Alex D Federman","doi":"10.1177/17423953231187172","DOIUrl":"10.1177/17423953231187172","url":null,"abstract":"Objectives: We investigated how individuals with chronic obstructive pulmonary disease (COPD) and multi-morbidity (MM) navigate barriers and facilitators to their health management.Methods: We conducted a mixed-methods study using semi-structured interviews and survey assessments of adults with COPD, hypertension, and/or diabetes. We recruited 18 participants with an average age of 65, with 39% being male, 50% Black, and 22% Hispanic/Latino/a. Five investigators used an iterative, hybrid-coding process combining a priori and emergent codes to analyze transcripts and compare quantitative and qualitative data for themes.Results: Participants reported a generalized approach to their health rather than managing MMs separately. Individuals with good or mixed adherence found daily routines facilitated regular medication use, while those with poor adherence experienced complex prescriptions and life stressors as barriers. Walking was viewed as beneficial but challenging due to limited mobility. Most participants viewed diet as important to their MMs, but only two reported high diet quality and many held inaccurate beliefs about healthy diet choices.Discussion: Participants with MM were highly motivated to engage in self-management activities, but some individuals experienced barriers to maintaining them. Emphasizing an individualized clinical approach to assessing and solving patient barriers may improve self-management outcomes in this complex population.","PeriodicalId":48530,"journal":{"name":"Chronic Illness","volume":" ","pages":"605-617"},"PeriodicalIF":1.8,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10117549","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Self-management interventions for chronically ill patients with limited health literacy: A descriptive analysis. 健康素养有限的慢性病患者自我管理干预：一项描述性分析。

IF 1.8 4区医学

Chronic Illness Pub Date : 2024-12-01 Epub Date: 2023-06-13 DOI: 10.1177/17423953231181410

M van der Gaag, M Heijmans, C Valli, C Orrego, M Ballester, J Rademakers

{"title":"Self-management interventions for chronically ill patients with limited health literacy: A descriptive analysis.","authors":"M van der Gaag, M Heijmans, C Valli, C Orrego, M Ballester, J Rademakers","doi":"10.1177/17423953231181410","DOIUrl":"10.1177/17423953231181410","url":null,"abstract":"Objectives: To support patients with limited health literacy with the challenges they face in the day-to-day management of their disease(s), numerous self-management interventions (SMIs) have been developed. To date, it is unclear to what extent SMIs have been developed for chronically ill patients with limited health literacy. This study aims to provide a description of these SMIs and to provide insight in their methodological components.Methods: A secondary analysis of the COMPAR-EU database, consisting of SMIs addressing patients with diabetes, chronic obstructive pulmonary disease, obesity and heart failure, was conducted. The database was searched for SMIs addressing health literacy, including cognitive aspects and the capacity to act.Results: Of the 1681 SMIs in the COMPAR-EU database, 35 studies addressed health literacy, describing 39 SMIs. The overview yields a high variety in interventions given, with overlapping information, but also lacking of specific details.Discussion: This descriptive analysis shows that there was a large variety in the extensiveness of the description of intervention characteristics and their justification or explanation. A focus on the broad concept of health literacy, including functional skills, cognitive skills and the capacity to act could improve the effectiveness. This should be taken into account in the future development of SMIs.","PeriodicalId":48530,"journal":{"name":"Chronic Illness","volume":" ","pages":"578-604"},"PeriodicalIF":1.8,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9999678","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Impacts of the COVID-19 pandemic on patients with chronic conditions in Vietnam: A cross-sectional study. COVID-19大流行对越南慢性病患者的影响：一项横断面研究

IF 1.8 4区医学

Chronic Illness Pub Date : 2024-12-01 Epub Date: 2023-07-13 DOI: 10.1177/17423953231188755

Thi Ha Vo, Thanh Huyen Nguyen, Huy Chuong Nguyen, Thanh Hiep Nguyen

{"title":"Impacts of the COVID-19 pandemic on patients with chronic conditions in Vietnam: A cross-sectional study.","authors":"Thi Ha Vo, Thanh Huyen Nguyen, Huy Chuong Nguyen, Thanh Hiep Nguyen","doi":"10.1177/17423953231188755","DOIUrl":"10.1177/17423953231188755","url":null,"abstract":"Objectives: We assess the impact of the COVID-19 pandemic on health, treatment adherence and expectations of patients with chronic diseases in Vietnam.Methods: We conducted a national cross-sectional study using a questionnaire survey, distributed through social networks and presented on Google Forms. The survey was performed during two months of the most stringent social distancing in Vietnam (between 21 July and 21 September 2021).Results: Most of the participants said that the COVID-19 epidemic had affected their daily activities (91.9%), health (53.6%), sleep behavior (52.3%), and mental health (79.8%). During social distancing in Vietnam, three-quarter could not go to hospitals for periodic health examination; nearly half of respondents did not do daily physical activity; a quarter of respondents did not adhere to recommended diet plan. Factors associated with the effect of the COVID-19 epidemic on patient's health included those living in Ho Chi Minh City (p = 0.015), lived alone (p = 0.027), uncontrolled chronic conditions (p < 0.001), treatment dissatisfaction or experienced anxiety/stress (p < 0.001). Factors associated with medication adherence included the elderly (p = 0.015), having periodic health examination (p = 0.012), direct consultation (p = 0.003), and telemedicine (p = 0.007).Conclusion: This study highlights the urgent need for better chronic management strategies for the new post-COVID era in the future.","PeriodicalId":48530,"journal":{"name":"Chronic Illness","volume":" ","pages":"618-630"},"PeriodicalIF":1.8,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10345823/pdf/10.1177_17423953231188755.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9783861","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Effects of long-term oxygen therapy on the mental state of patients with chronic obstructive pulmonary disease: A systematic review. 长期氧疗对慢性阻塞性肺疾病患者精神状态影响的系统评价

IF 1.8 4区医学

Chronic Illness Pub Date : 2024-12-01 Epub Date: 2023-07-13 DOI: 10.1177/17423953231187169

Xiaohan Zhang, Fei Fei

{"title":"Effects of long-term oxygen therapy on the mental state of patients with chronic obstructive pulmonary disease: A systematic review.","authors":"Xiaohan Zhang, Fei Fei","doi":"10.1177/17423953231187169","DOIUrl":"10.1177/17423953231187169","url":null,"abstract":"Objectives: This systematic review aimed to examine the effects of long-term oxygen therapy on the mental state of patients with chronic obstructive pulmonary disease.Methods: Web of Science, Medline, CINAHL, EMBASE, ProQuest, and Cochrane Library were selected to search for relevant studies. We followed the Cochrane Handbook for Systematic Reviews of Interventions, adopted the Cochrane risk-of-bias tool and Risk Of Bias In Non-randomized Studies of Interventions tool, and synthesized the outcomes narratively with Grading of Recommendations, Assessment, Development and Evaluations evidence profile.Results: Six studies were included. Moderate quality of evidence supported no effects of long-term oxygen therapy on the mental state in patients with severe resting hypoxemia and moderate resting hypoxemia (or exertional desaturation) at follow-up of 6 to 12 months; however, adverse effects on mental state among patients with moderate resting or exertional desaturation were reported at the follow-up of 36 to 48 months.Discussion: Nurses should focus on the mental state of patients treated with long-term oxygen therapy, especially those who use it for a prolonged time. Due to ethical constraints in this study, a quasi-experimental study with faithful consideration of internal validity can be commenced in the future.","PeriodicalId":48530,"journal":{"name":"Chronic Illness","volume":" ","pages":"559-577"},"PeriodicalIF":1.8,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9766916","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Beyond the battle: A cross-sectional study on cancer-related fatigue and predictors of quality of life in female adolescent and young adult survivors. 战斗之外：关于癌症相关疲劳以及青少年女性幸存者生活质量预测因素的横断面研究。

IF 1.8 4区医学

Chronic Illness Pub Date : 2024-09-09 DOI: 10.1177/17423953241282664

Prema Naittee George, Ganesh Mp

{"title":"Beyond the battle: A cross-sectional study on cancer-related fatigue and predictors of quality of life in female adolescent and young adult survivors.","authors":"Prema Naittee George, Ganesh Mp","doi":"10.1177/17423953241282664","DOIUrl":"https://doi.org/10.1177/17423953241282664","url":null,"abstract":"Objectives: The study delves into the intricacies of cancer-related fatigue (CRF), the quality of life (QoL), and other demographic variables of female adolescent and young adult cancer survivors (AYACS) in the landscape of Kerala, India.Methods: The cross-sectional study included 288 female AYACS who were selected through purposive sampling and completed self-reported questionnaires on CRF, QoL, and demographic and clinical data. Statistical analyses were applied, including correlation, one-way ANOVA, and regression.Results: and discussion: The temporal dimension is particularly interesting, as individuals three to five years post-treatment report heightened CRF and QoL scores. Furthermore, the research unveils the pivotal role played by predictors such as marital status, educational attainment, and employment status in shaping QoL. Marital status and education emerge as positive predictors of well-being. The study unveils compelling insights into AYA cancer survivorship, revealing a profound impact of CRF on the quality of life dimensions. The role of spirituality, sometimes affecting social connectedness, adds intrigue.Conclusion: The findings provide insights into the complex world of female AYACS, compelling researchers to ponder the significance of addressing CRF and tailoring rehabilitation systems during the critical post-treatment phase, with recognition of gender-specific challenges.","PeriodicalId":48530,"journal":{"name":"Chronic Illness","volume":" ","pages":"17423953241282664"},"PeriodicalIF":1.8,"publicationDate":"2024-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142156419","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Social support within couples coping with Parkinson's disease. 应对帕金森病的夫妇之间的社会支持。

IF 1.8 4区医学

Chronic Illness Pub Date : 2024-09-09 DOI: 10.1177/17423953241282665

Summer C Martin

{"title":"Social support within couples coping with Parkinson's disease.","authors":"Summer C Martin","doi":"10.1177/17423953241282665","DOIUrl":"https://doi.org/10.1177/17423953241282665","url":null,"abstract":"Objectives: To contribute to a better understanding of the complexities of social support exchanged within couples coping with Parkinson's disease (PD), the present study aimed to identify costs and complications of support between persons with PD (PWPs) and their partners, as well as how to effectively manage such challenges.Methods: In-depth interviews were conducted with 63 participants, including 31 PWPs and 32 partners. Interviews were transcribed and analyzed using constant comparative techniques.Results: Participants reported the following complications and costs of social support: partners' differing approaches to coping can make support difficult, support can be perceived as identity-threatening and controlling, support can lead to dependency, and support can be draining. In addition, participants discussed effectively managing challenges of support by seeking/providing support subtly, taking the other's perspective, and relinquishing control.Discussion: In health care and interventions, it is important for PWPs and partners to be educated about social support so that couples can anticipate these costs and complications of support and consider which management strategies are likely to be effective for them in various circumstances.","PeriodicalId":48530,"journal":{"name":"Chronic Illness","volume":" ","pages":"17423953241282665"},"PeriodicalIF":1.8,"publicationDate":"2024-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142156420","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Experiences of students with chronic illness in university education in Ireland. 爱尔兰大学教育中慢性病学生的经历。

IF 1.8 4区医学

Chronic Illness Pub Date : 2024-09-05 DOI: 10.1177/17423953241282246

Olga Doris, Eimear C Morrissey

{"title":"Experiences of students with chronic illness in university education in Ireland.","authors":"Olga Doris, Eimear C Morrissey","doi":"10.1177/17423953241282246","DOIUrl":"https://doi.org/10.1177/17423953241282246","url":null,"abstract":"Objective: The aim of this study was to explore the experiences of university students with a chronic illness in Ireland. The study also aimed to gain insight into students' experiences with Disability Support Services (DSS) and identify gaps where additional supports and resources are needed.Design: Cross-sectional qualitative study.Methods: Fourteen students from three Irish universities participated in semi-structured interviews. The interviews were audio-recorded, transcribed, and analysed through the six-step process of reflexive thematic analysis.Results: Four themes were developed: (1) The burden of managing a chronic illness alongside university education; (2) Interruptions, disruptions and alterations to college life; (3) Flexible supports for fluctuating conditions; (4) Achieving in educating while living with a chronic illness.Conclusions: Participants reported a physical and emotional burden. Despite engaging in rigorous management strategies, many participants missed lectures and socialising with peers. Some found the supports from DSS to be useful, however many were unsure if they qualified for support, or found the supports available to be generic and inadequate for their needs. There is significant scope for the delivery of both teaching and DSS to be improved for this cohort, ensuring that all students, regardless of their health status, have equal opportunities for success.","PeriodicalId":48530,"journal":{"name":"Chronic Illness","volume":" ","pages":"17423953241282246"},"PeriodicalIF":1.8,"publicationDate":"2024-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142134233","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The relationship between kinesiophobia and adaptation to illness in different chronic illnesses. 不同慢性疾病中运动恐惧与疾病适应之间的关系。

IF 1.8 4区医学

Chronic Illness Pub Date : 2024-09-01 Epub Date: 2023-12-27 DOI: 10.1177/17423953231221837

Fatih Enzin, İbrahim Caner Dikici, Derya Tülüce

{"title":"The relationship between kinesiophobia and adaptation to illness in different chronic illnesses.","authors":"Fatih Enzin, İbrahim Caner Dikici, Derya Tülüce","doi":"10.1177/17423953231221837","DOIUrl":"10.1177/17423953231221837","url":null,"abstract":"Objectives: The aim of this study was to determine the relationship between kinesiophobia and adaptation to chronic illness.Methods: The study was conducted with descriptive design. The questionnaire consists of three parts: a form including questions about socio-demographic characteristics and chronic diseases-related characteristics of the participants, Tampa Scale for Kinesiophobia, and Adaptation to Chronic Illness Scale.Results: A total of 217 patients participated in the study, consisting of 99 patients with diabetes, 74 with heart failure (HF), and 44 with chronic obstructive pulmonary disease (COPD). The general mean age of the patients participating in the study was 61.03 ± 11.99 years, and the mean duration of disease diagnosis was 9.83 ± 7.16 years. While age, physical adaptation, and psychological adaptation affected the level of kinesiophobia of the patients with COPD and HF by 44.3% and 47.7%, respectively, physical adaptation and psychological adaptation affected the level of kinesiophobia of the patients with DM by 29.6%.Discussion: While the level of kinesiophobia was found to be high in all disease groups, it was determined that the level of adaptation to the disease was limited. Psychological and physical adaptation to illness was correlated with kinesiophobia.","PeriodicalId":48530,"journal":{"name":"Chronic Illness","volume":" ","pages":"504-514"},"PeriodicalIF":1.8,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139049609","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Experiences and expectations of physician communication: A focus group discussion with Indian patients with type 2 diabetes mellitus. 对医生沟通的体验和期望：与印度 2 型糖尿病患者的焦点小组讨论。

IF 1.8 4区医学

Chronic Illness Pub Date : 2024-09-01 Epub Date: 2023-09-14 DOI: 10.1177/17423953231200683

Tejal Lathia, Mahati Chittem, Shweta Chawak, Praneeta Katdare, Shreya Jayaram, Chitra Selvan

{"title":"Experiences and expectations of physician communication: A focus group discussion with Indian patients with type 2 diabetes mellitus.","authors":"Tejal Lathia, Mahati Chittem, Shweta Chawak, Praneeta Katdare, Shreya Jayaram, Chitra Selvan","doi":"10.1177/17423953231200683","DOIUrl":"10.1177/17423953231200683","url":null,"abstract":"Objectives: This pilot study aimed to: (a) understand the experiences of Indian patients with type 2 diabetes mellitus and their expectations of their physicians during a medical consultation, (b) serve as a preliminary study to inform the development of a larger project exploring and improving patients' communication experiences, and (c) assess whether the pilot study findings indicate the viability of using the Relationship: Establishment, Development, and Engagement model of communication as the conceptual framework for the larger project.Methods: Using convenience sampling, 11 patients participated in a focus group discussion. Conventional content analysis was used.Results: Two themes were generated: (a) A plethora of negative feelings: experiences of the physician's verbal and nonverbal communication styles, and (b) 'I know what I want': Expectations of communication by patients from their physician.Conclusions: The medical encounter with the physician elicited a range of negative experiences and clear expectations from the patients with type 2 diabetes mellitus. This pilot points to the need for (a) a mixed methods approach to comprehensively examine the communication needs of patients with type 2 diabetes mellitus from their physician, (b) understand physicians' communication practices, and (c) using these findings, culturally adapt and test the Relationship: Establishment, Development, and Engagement to improve physicians' communication skills in India.","PeriodicalId":48530,"journal":{"name":"Chronic Illness","volume":" ","pages":"549-556"},"PeriodicalIF":1.8,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10297687","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0