文章基本信息

标题：The psychosocial barriers to medication adherence of patients with type 2 diabetes: a qualitative study
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作者：Firoozeh Mostafavi ; Fereshteh Zamani Alavijeh ; Arash Salahshouri 等
期刊名称：BioPsychoSocial Medicine
印刷版ISSN：1751-0759
电子版ISSN：1751-0759
出版年度：2021
卷号：15
期号：1
页码：1-11
DOI：10.1186/s13030-020-00202-x
出版社：BioMed Central
摘要：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.
关键词：Medication adherence ; Patients ; Diabetes mellitus ; Type 2 ; Qualitative research ; Iran