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首页> 外文期刊>Patient Preference and Adherence >Barriers to good glycemic control levels and adherence to diabetes management plan in adults with Type-2 diabetes in Jordan: a literature review
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Barriers to good glycemic control levels and adherence to diabetes management plan in adults with Type-2 diabetes in Jordan: a literature review

机译：约旦2型糖尿病成年人良好的血糖控制水平和遵守糖尿病管理计划的障碍：文献综述

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Poorly controlled Type-2 diabetes is considered a significant public health problem and associated with adverse outcomes in Jordan. This review focuses on barriers to good glycemic control levels and adherence to diabetes management plan in adults with Type-2 diabetes in Jordan. The aim was to identify the extent of Type-2 diabetes and the influence of knowledge, perceptions and sociocultural factors on adherence to the diabetes management plan. Thirty-two studies were included in the literature review. The high prevalence rate of poorly controlled Type-2 diabetes is associated with many negative consequences among patients in Jordan. Despite the publication of research findings that have shown the importance of adherence to diet, physical activity, medications, monitoring blood glucose and foot care, the level of adherence is still unsatisfactory among patients in Jordan. This review also identified that social, cultural and religious factors influence diabetes management. These factors highlighted the overwhelming influence of socio-cultural factors and lifestyles as determinants of patients’ health and health behaviors. For example, the influence of family, friends and culture on herbal use and food preferences that patients make on a daily basis and during social gatherings. A holistic approach incorporating patient-centered care could usefully be incorporated into educational programs to improve the understanding of patients’ health and information needs. The importance of factors beyond the individual level in terms of social, cultural, organizational and policy influences such as food habits, religious beliefs and lack of continuity of care were identified as key factors which influence adherence to the diabetes management plan. Recognition of multiple determinants of patients’ health among health care professionals may expand the scope of interventions to seek to modify social norms and values and improve patient outcomes.
机译：控制不良的2型糖尿病被认为是重大的公共卫生问题，并且与约旦的不良后果有关。这篇综述的重点是约旦患有2型糖尿病的成年人，其良好的血糖控制水平和遵守糖尿病管理计划的障碍。目的是确定2型糖尿病的程度以及知识，知觉和社会文化因素对遵守糖尿病管理计划的影响。文献综述中包括32项研究。 2型糖尿病控制不佳的高患病率与约旦患者之间的许多负面后果有关。尽管发表的研究结果表明坚持饮食，身体活动，药物，监测血糖和足部护理的重要性，但约旦患者的坚持水平仍然不能令人满意。该评价还确定了社会，文化和宗教因素影响糖尿病的管理。这些因素突显了社会文化因素和生活方式对患者健康和健康行为的决定性影响。例如，家人，朋友和文化对患者日常使用和社交聚会中草药使用和食物偏爱的影响。可以将以患者为中心的整体治疗方法有效地纳入教育计划，以增进对患者健康和信息需求的了解。在社会，文化，组织和政策影响方面，超越个人水平的因素的重要性，例如饮食习惯，宗教信仰和缺乏护理的连续性，被确定为影响遵守糖尿病管理计划的关键因素。在医疗保健专业人员中对患者健康的多个决定因素的认可可能会扩大干预范围，以寻求修改社会规范和价值观并改善患者预后。

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