مجله دانشگاه علوم پزشکی سبزوار

شماره جاری

بر اساس شماره‌های نشریه

بر اساس نویسندگان

بر اساس موضوعات

نمایه نویسندگان

نمایه کلیدواژه ها

درباره نشریه

اهداف و چشم انداز

اعضای هیات تحریریه

اصول اخلاقی انتشار مقاله

بانک ها و نمایه نامه ها

پیوندهای مفید

فرایند پذیرش مقالات

اخبار و اعلانات

فرم های ضروری نشریه

راهنمای تنظیم مقاله

بازدارنده‌های شرکت در برنامه‌های توانمندسازی زنان دیابتی در خودمراقبتی: یک مطالعه کیفی

نوع مقاله : مقاله پژوهشی

نویسندگان

1 کارشناس ارشد آموزش بهداشت و ارتقای سلامت، هنرآموز هنرستان فنی محمدی باغانی، آموزش و پرورش استان خراسان رضوی، سبزوار، ایران

2 دکتری تخصصی مدیریت آموزشی، دبیر دبیرستان فرزانگان 5، آموزش و پرورش استان خراسان رضوی، ناحیه 6 مشهد، مشهد، ایران

3 دکتری تخصصی روان‌شناسی تربیتی، استادیار گروه آموزش بهداشت و ارتقای سلامت، دانشگاه علوم پزشکی سبزوار، سبزوار، ایران

چکیده

زمینه و هدف: دیابت یک بیماری شایع است که عوارض جدی به‌جای می‌گذارد آموزش به بیمار در مورد بیماری و روش‌های خودمراقبتی می‌تواند از پیامدهای منفی جلوگیری کند اما بیماران کمی در آموزش‌های خودمراقبتی شرکت می‌کنند. پژوهش حاضر، درک و باورهای زنان دیابتی درباره بازدارنده‌های شرکت در برنامه‌های توانمندسازی در خودمراقبتی را تبیین می‌کند.
مواد و روش­ها: پژوهش کیفی از نوع تحلیل محتوی در شهر سبزوار انجام گردید. نمونه‌گیری هدفمند تا اشباع داده‌ها ادامه یافت. داده‌ها با مصاحبه نیمه‌ساختاریافته جمع‌آوری گردید. در مجموع 21 نفر زن دیابتی در مدت 6 ماه مورد مصاحبه قرارگرفتند. مصاحبه‌ها با روش تحلیل محتوای گرنهایم و لاندمن آنالیز شدند. برای اطمینان از دقت و استحکام داده‌‎ها، معیار مقبولیت،  قابلیت انتقال، قابلیت وابستگی و قابلیت اعتماد داده‌ها بررسی گردید.
نتیجه‌گیری: طبق یافته‌های پژوهش، طراحی مداخلات برای پزشکان در راستای برقراری تعامل بیشتر پزشکان با بیماران، با توجه به تأثیرگذاری توصیه‌ها و رفتارهای آنها بر تصمیم بیماران برای مشارکت در خودمراقبتی و حضور در برنامه‌های آموزشی، توصیه می‌شود.

کلیدواژه‌ها

موضوعات

عنوان مقاله [English]

Barriers to Participation in Self-Care Empowerment Programs for Diabetic Women: A Qualitative Study

نویسندگان [English]

  • parisa Mehrdadian 1
  • Salime Golabgirnik 2
  • Razieh Khosrorad 3

1 Master of Health Education, Teacher of Mohammadi Baghani Technical High School, Department of Education Khorasan Razavi, Sabzevar, Iran

2 PHD in Educational Management, Teacher of Farzangan High School, Department of Education Khorasan Razavi, Mashhad, Iran

3 PHD in Educational Phychology, Assistant Professor of Health Education Department, School of Health, Sabzevar University of Medical Sciences, Sabzevar, Iran

چکیده [English]

Introduction: Diabetes is a common disease that leaves serious complications. Educating the patient about the disease and self-care methods can prevent negative consequences, but few patients participate in self-care education. The present study explains the understanding and beliefs of diabetic women about the barriers to participating in self-care empowerment programs.
Materials and Methods: This qualitative research was conducted in Sabzevar city. Purposive sampling was used to select the participants and theoretical sampling was also used to complete the classes. Data was collected by semi-structured interview. A total of 21 diabetic women were interviewed for 6 months. The interviews were analyzed with Graham and Landman 's content analysis method. To ensure consistency and accuracy of data, credibility, transferability, dependability,and conformability criteria were assessed.  
Results: The results of the qualitative content analysis led to the extraction of 4 main categories including "scientific information related to the disease and self-care", "the way the doctor deals with the patient and the disease", "the physical and mental health status of the patient" and "beliefs and opinions".
Conclusion: According to the findings of the research, it is recommended to design interventions for physicians in order to establish more interaction between physicians and patients, considering the influence of their recommendations and behaviors on patients' decision to participate in self-care and attend educational programs

کلیدواژه‌ها [English]

  • Diabetes
  • Empowerment programs
  • Inhibitors
  • Qualitative analysis
  • Self-care
مراجع
  1. Köster I, Schubert I, Huppertz E. Follow up of the CoDiM-Study: Cost of diabetes mellitus 2000-2009. Deutsche medizinische Wochenschrift (1946). 2012;137(19):1013-6. doi:1055/s-0032-1304891.
  2. Deshpande AD, Harris-Hayes M, Schootman M. Epidemiology of diabetes and diabetes-related complications. Physical therapy. 2008;88(11):1254-64. doi:2522/ptj.20080020.
  3. Icks A, Rathmann W, Haastert B, Mielck A, Holle R, Löwel H, et al. Quality of care and extent of complications in a population-based sample of patients with type 2 diabetes mellitus. The KORA Survey 2000. Deutsche medizinische Wochenschrift (1946). 2006;131(3):73-8. doi:1055/s-2006-924927.
  4. Tol A, Azam K, Esmaeil Shahmirzadi S, Shojaeizadeh D, Mohebbi B, Asfia A, et al. Relation between empowerment of diabetes control and adoption of self-management behaviors and its related factors among type 2 diabetic patients. Razi Journal of Medical Sciences. 2012;19(98):11-8.(persian).
  5. Altenhofen L, Brenner G, Haβ W, Siering  Quality Assurance Report 2004, Disease-Management-Programs in North Rhine. http://wwwkvnode/downloads/quali/qualbe_dmp04. 2013.
  6. Mogre V, Johnson NA, Tzelepis F, Paul C. Barriers to diabetic self-care: A qualitative study of patients' and healthcare providers' perspectives. Journal of clinical nursing. 2019;28(11-12):2296-308. doi: 1111/jocn.14835.
  7. Dehvan F, Baghi V, Lotfi A, Ghanei Gheshlagh R. Medication adherence inhibitors and facilitators in type 2 diabetic patients: An Integrative review. Scientific Journal of Nursing, Midwifery and Paramedical Faculty. 2017;3(1):1-17.(Persian). doi:29252/sjnmp.3.1.1.
  8. Rygg L, Rise MB, Lomundal B, Solberg HS, Steinsbekk A. Reasons for participation in group-based type 2 diabetes self-management education. A qualitative study. Scandinavian journal of public health. 2010;38(8):788-93. doi:1177/1403494810382475.
  9. Clement S. Diabetes Self-Management Education. Diabetes care. 1995;18:1204-14.
  10. Zare S, Ostovarfar J, Kaveh MH, Vali M. Effectiveness of theory-based diabetes self-care training interventions; a systematic review. Diabetes & metabolic syndrome. 2020;14(4):423-33. doi:1016/j.dsx.2020.04.008.
  11. Hall PA, Rodin GM, Vallis TM, Perkins BA. The consequences of anxious temperament for disease detection, self-management behavior, and quality of life in Type 2 diabetes mellitus. Journal of psychosomatic research. 2009;67(4):297-305. doi: 1016/j.jpsychores.2009.05.015.
  12. Ockleford E, Shaw RL, Willars J, Dixon-Woods M. Education and self-management for people newly diagnosed with type 2 diabetes: a qualitative study of patients' views. Chronic illness. 2008;4(1):28-37. doi:1177/1742395307086673.
  13. Courtenay WH, McCreary DR, Merighi JR. Gender and ethnic differences in health beliefs and behaviors. Journal of health psychology. 2002;7(3):219-31. doi:1177/1359105302007003216.
  14. Mufunda E, Albin B, Hjelm K. Differences in health and illness beliefs in zimbabwean men and women with diabetes. The open nursing journal. 2012;6:117-25. doi:2174/1874434601206010117.
  15. Tewahido D, Berhane Y. Self-Care Practices among Diabetes Patients in Addis Ababa: A Qualitative Study. PloS one. 2017;12(1): doi: org/10.1371/journal.pone.0169062
  16. Graneheim UH, Lundman B. Qualitative content analysis in nursing research: concepts, procedures and measures to achieve trustworthiness. Nurse education today. 2004;24(2):105-12. doi:1016/j.nedt.2003.10.001.
  17. Speziale HS, Streubert HJ, Carpenter DR. Qualitative Research in Nursing: Advancing the Humanistic Imperative: Wolters Kluwer Health/Lippincott Williams & Wilkins; 2011.
  18. Schäfer I, Pawels M, Küver C, Pohontsch NJ, Scherer M, van den Bussche H, et al. Strategies for improving participation in diabetes education. A qualitative study. PloS one. 2014;9(4). doi:org/10.1371/journal.pone.0095035.
  19. Ghoreishi MS, Vahedian-Shahroodi M, Jafari A, Tehranid H. Self-care behaviors in patients with type 2 diabetes: Education intervention base on social cognitive theory. Diabetes & metabolic syndrome. 2019;13(3):2049-56. doi:1016/j.dsx.2019.04.045.
  20. Shin KS, Lee EH. Relationships of health literacy to self-care behaviors in people with diabetes aged 60 and above: Empowerment as a mediator. Journal of advanced nursing. 2018;74(10):2363-72. doi:1111/jan.13738.
  21. Lev EL, Owen SV. A measure of self-care self-efficacy. Research in nursing & health. 1996;19(5):421-9. 1002/(SICI)1098-240X(199610)19:5<421::AID-NUR6>3.0.CO;2-S
  22. Peters A, Laffel L. Diabetes care for emerging adults: recommendations for transition from pediatric to adult diabetes care systems: a position statement of the American Diabetes Association, with representation by the American College of Osteopathic Family Physicians, the American Academy of Pediatrics, the American Association of Clinical Endocrinologists, the American Osteopathic Association, the Centers for Disease Control and Prevention, Children with Diabetes, The Endocrine Society, the International Society for Pediatric and Adolescent Diabetes, Juvenile Diabetes Research Foundation International, the National Diabetes Education Program, and the Pediatric Endocrine Society (formerly Lawson Wilkins Pediatric Endocrine Society). Diabetes care. 2011;34(11):2477-85. doi:org/10.2337/dc11-1723.
  23. Ciccone MM, Aquilino A, Cortese F, Scicchitano P, Sassara M, Mola E, et al. Feasibility and effectiveness of a disease and care management model in the primary health care system for patients with heart failure and diabetes (Project Leonardo). Vascular health and risk management. 2010;6:297-305. doi:2147/vhrm.s9252.
  24. Mogre V, Johnson NA, Tzelepis F, Paul C. Attitudes towards, facilitators and barriers to the provision of diabetes self-care support: A qualitative study among healthcare providers in Ghana. Diabetes & metabolic syndrome. 2019;13(3):1745-51. doi:10.1016/j.dsx.2019.03.041.
  25. Rubin RR, Peyrot M. Psychological issues and treatments for people with diabetes. Journal of clinical psychology. 2001;57(4):457-78. doi:1002/jclp.1041.
  26. Pibernik-Okanovic M, Prasek M, Poljicanin-Filipovic T, Pavlic-Renar I, Metelko Z. Effects of an empowerment-based psychosocial intervention on quality of life and metabolic control in type 2 diabetic patients. Patient education and counseling. 2004;52(2):193-9. doi:1016/s0738-3991(03)00038-7.
  27. Egede LE, Osborn CY. Role of motivation in the relationship between depression, self-care, and glycemic control in adults with type 2 diabetes. The Diabetes educator. 2010;36(2):276-83. doi:1177/0145721710361389.
  28. Saudo M, Dzeraviashka P, Magot L, Vincent YM. Perceptions and emotions of patients with type 2 diabetes about their diabetes during the first COVID-19 lockdown: A netnography: Médecine Des Maladies Métaboliques. 2021 ;15(6):623-31. doi:1016/j.mmm.2021.04.010.
  29. Mosnier-Pudar H, Hochberg G, Eschwege E, Halimi S, Virally ML, Guillausseau PJ, et al. How patients' attitudes and opinions influence self-care behaviours in type 2 diabetes. Insights from the French DIABASIS Survey. Diabetes & metabolism. 2010;36(6 Pt 1):476-83. doi:1016/j.diabet.2010.08.004.
  30. Harvey JN, Lawson VL. The importance of health belief models in determining self-care behaviour in diabetes. Diabetic medicine : a journal of the British Diabetic Association. 2009;26(1):5-13. doi:1111/j.1464-5491.2008.02628.x.
مجله دانشگاه علوم پزشکی سبزوار
دوره 30، شماره 3
مرداد و شهریور 1402
صفحه 363-373
فایل ها
سابقه مقاله
  • تاریخ دریافت: 21 آذر 1401
  • تاریخ بازنگری: 30 بهمن 1401
  • تاریخ پذیرش: 30 بهمن 1401
هم رسانی
ارجاع به این مقاله
آمار