从 "用药捷径 "到 "依赖"：中国 2 型糖尿病患者自我管理悖论的定性研究。

IF 2.9 2区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Patient Education and Counseling Pub Date : 2024-11-09 DOI:10.1016/j.pec.2024.108491

Xiang Qiu , Lei Hu , Dan Yang , Ziqing Zhang , Xiaoyu He , Yongjie Li , Ni Gong

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引用次数: 0

摘要

研究目的本研究旨在从患者生活的角度探讨糖尿病患者陷入药物依赖恶性循环的过程和内在机制：方法：采用目的取样法，在华南某知名三甲医院对23名2型糖尿病患者进行了个别访谈。随后，对访谈数据进行了内容分析：结果：对收集到的数据进行分析后，得出了三大主题：结果：对收集到的数据进行分析后，得出了三个总的主题："疾病处处限制我"、"药物让我重新感受生活"、"难以摆脱药物依赖"：我们的研究揭示了 2 型糖尿病患者药物依赖恶性循环的过程和根本原因。糖尿病患者在将自我管理融入日常生活的过程中，往往将药物视为简化生活的捷径。他们在综合管理与药物依赖之间挣扎，但受眼前利益和生活理性的影响，最终陷入了无法摆脱的恶性循环：本研究可为有针对性的干预措施提供信息，以提高患者的综合健康管理能力，从而打破恶性循环。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

查看原文本刊更多论文

From "Medication shortcut" to "Dependence": A qualitative study of self-management paradox in Chinese patients with type 2 diabetes

Objective

The purpose of this study is to explore the process and internal mechanism of patients with diabetes falling into the vicious cycle of medication dependence from the perspective of patients' life.

Methods

Employing purposive sampling, 23 patients with type 2 diabetes were interviewed individually at a renowned tertiary hospital in South China. Subsequently, interview data underwent content analysis.

Results

Analysis of the collected data yielded three overarching themes: "disease limits me everywhere," "the medications make me feel my life again," and "difficult to get rid of the medication dependence."

Conclusions

Our study reveals the process and underlying causes of the vicious cycle of medication dependence among patients with type 2 diabetes. Diabetes patients, in the process of integrating self-management into their daily lives, often view medication as a shortcut to simplify life. They struggle between comprehensive management and dependence on medication, but influenced by immediate gratification and life rationality, they ultimately fall into an inescapable vicious cycle.

Practice Implications

This study can provide information for targeted interventions to enhance patients' comprehensive health management abilities, thereby breaking the vicious cycle.

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来源期刊

Patient Education and Counseling 医学-公共卫生、环境卫生与职业卫生

CiteScore

5.60

自引率

11.40%

发文量

384

审稿时长

46 days

期刊介绍： Patient Education and Counseling is an interdisciplinary, international journal for patient education and health promotion researchers, managers and clinicians. The journal seeks to explore and elucidate the educational, counseling and communication models in health care. Its aim is to provide a forum for fundamental as well as applied research, and to promote the study of organizational issues involved with the delivery of patient education, counseling, health promotion services and training models in improving communication between providers and patients.