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The psychosocial barriers to medication adherence of patients with type 2 diabetes: a qualitative study

机译：2型糖尿病患者的药物社会障碍：定性研究

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The adherence of diabetic patients to their medication regimen is associated with many psychosocial factors that are still unknown. Therefore, the present study aims to identify the psychosocial barriers to medication adherence of patients with type2 diabetes (T2D). This descriptive qualitative study was done in Isfahan, Iran by conducting in-depth unstructured interviews with 23 purposively selected patients with T2D and 10 healthcare providers (HCPs). The participants were interviewed face-to-face between November 2017 and June 2018 at the patient’s home, a Health Care Center, or at the diabetes clinic. Data analysis was performed using MAXQDA-10 software and the conventional content analysis. The analysis of the data led to six categories of perceived psychosocial barriers: 1) fear, concern and distress, 2) exhaustion and burnout, 3) the children’s issues being the priority, 4) poor financial support, 5) communication challenges, and 6) poor work conditions. This study identified some of the psychosocial barriers to medication adherence of patients with T2D, which will be of great help to researchers and HCPs in designing and implementing effective interventions to overcome these barriers and change patient self-care behaviors and increase their medication adherence.
机译：糖尿病患者对其药物方案的依从性与许多仍然未知的心理社会因素有关。因此，本研究旨在识别患有2型糖尿病（T2D）的患者用药依从性的心理社会障碍。这种描述性定性研究是在伊朗，伊朗进行了深入的非结构化访谈，与23名有目的地选择的T2D和10个医疗保健提供者（HCPS）进行了深入的非结构化访谈。参与者在2017年11月至2018年6月在患者的家中，医疗保健中心或糖尿病诊所进行了面对面面对面。使用MAXQDA-10软件和传统内容分析进行数据分析。对数据的分析导致了六个类别的感知心理社会障碍：1）恐惧，关注和痛苦，2）疲惫和倦怠，3）儿童的问题是优先权，4）财政支持差，5）沟通挑战，6 ）工作条件不佳。本研究确定了T2D患者的药物依从性的一些心理社会障碍，这对研究人员和HCP有很大的帮助，在设计和实施有效的干预措施来克服这些障碍并改变患者的自我保健行为并增加其药物依从性。

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