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Barriers to medication taking among Kuwaiti patients with type 2 diabetes: a qualitative study

机译：定性研究：科威特2型糖尿病患者的用药障碍

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Background: Nonadherence to medications among Kuwaitis with type 2 diabetes mellitus (T2DM) is believed to be a major barrier to appropriate management of the disease. Published studies of barriers to medication adherence in T2DM suggest a Western bias, which may not adequately describe the Kuwaiti experience. Aim: The purpose of this study was to explore barriers to medication adherence among Kuwaiti adults with T2DM. Methods: Semi-structured interviews were conducted with 20 Kuwaiti patients with type 2 diabetes. The interviews were digitally recorded, transcribed, and analyzed using thematic analysis. Results: Barriers to medication adherence were identified. Emerging themes were: 1)?lack of education/awareness about diabetes/medications, 2) beliefs about medicines/diabetes, 3)?spirituality and God-centered locus of control, 4) attitudes toward diabetes 5) perceptions of self-expertise with the disease and body awareness, 6) social stigma, 7) perceptions of social support, 8) impact of illness on patient’s life, 9) perceptions of health care providers’ attitudes toward patients, and 10) health system-related factors, such as access difficulties and inequalities of medication supply and services. Conclusion: Personal, sociocultural, religious, health care provider, and health care system-related factors may impede medication adherence among Kuwaitis with type?2 diabetes. Interventions to improve care and therapeutic outcomes in this particular population must recognize and attempt to resolve these factors.
机译：背景：科威特人患有2型糖尿病（T2DM）的药物不依从性是适当控制该疾病的主要障碍。已发表的有关T2DM中药物依从性障碍的研究表明存在西方偏见，这可能不足以描述科威特的经历。目的：本研究的目的是探讨科威特患有T2DM的成年人中依从性的障碍。方法：对20名科威特2型糖尿病患者进行了半结构式访谈。采访被数字记录，转录并使用主题分析进行分析。结果：确定了药物依从性的障碍。新兴的主题有：1）缺乏对糖尿病/药物的教育/意识; 2）对药物/糖尿病的信仰; 3）精神和以上帝为中心的控制源; 4）对糖尿病的态度5）对自我意识的理解疾病和身体意识，6）社会污名，7）社会支持感，8）疾病对患者生活的影响，9）对医护人员对患者态度的认知以及10）与卫生系统相关的因素，例如药品供应和服务的获取困难和不平等。结论：个人，社会文化，宗教，医疗保健提供者和医疗保健系统相关因素可能会阻碍2型糖尿病科威特人的用药依从性。改善这一特殊人群的护理和治疗效果的干预措施必须认识到并试图解决这些因素。

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