农村地区糖尿病病人胰岛素注射障碍因素及护理需求的质性研究

    A qualitative study on the barriers and nursing needs of insulin injection among diabetic patients in rural areas

    • 摘要:
      目的: 研究农村地区的糖尿病病人在胰岛素注射方面存在的需求,为构建农村地区的胰岛素注射病人健康教育方案提供依据。
      方法: 运用质性研究的方法,对15例农村地区的糖尿病病人进行半结构式访谈,运用内容分析法对资料进行整理分析和主题描述。
      结果: 提炼出农村地区糖尿病病人规范注射胰岛素的障碍因素有4个主题,包括携带不便、经济压力、注射胰岛素带来的并发症及负性情绪;护理需求有3个主题,包括知识和信念、技能与能力、社会支持。
      结论: 农村地区糖尿病病人对胰岛素注射知识及技能认识不足,态度消极,缺乏社会支持。医护人员应高度重视,采取针对性措施,协助克服各种阻碍因素,提高病人自我管理能力。

       

      Abstract:
      Objective To explore the needs of diabetic patients in rural areas regarding insulin injection and provide a basis for developing a health education program for insulin injection patients in rural areas.
      Methods A qualitative research method was used to conduct semi-structured interviews with 15 diabetic patients in rural areas. Content analysis was employed to organize and analyze the data and to describe the themes.
      Results Four themes were identified as barriers to the standardized insulin injection among diabetic patients in rural areas, including inconvenience of carrying insulin, economic pressure, complications caused by insulin injection and negative emotions.Three themes were identified regarding nursing needs, including knowledge and beliefs, skills and abilities, and social support.
      Conclusions Diabetic patients in rural areas have insufficient knowledge and skills regarding insulin injection, exhibit negative attitudes, and lack social support. Healthcare providers should attach great importance to this issue and take targeted measures to help patients overcome various barriers, thereby improveing their self-management ability.

       

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