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Diabetes management challenges in Iran: A qualitative content analysis
Nasrin Soltani Molayaghobi1, Parvaneh Abazari1, Fariba Taleghani1
1Nursing and Midwifery Care Research Center, Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.
Aim:
To explore and analyse diabetes management challenges in the patients visiting a diabetes unit in Iran.
Background:
Managing a chronic disease like diabetes needs the patients' follow-up and coherent care delivery system. In fact, it requires a systematic and organised care delivery system with skilful and specialist team.
Methods:
This qualitative research was conducted at a specialized poly-clinic of Isfahan insurance organisation in 2016. The research participants were the members of clinic diabetes unit (physician, nurse, secretary, clinic director) and 21 type 2 diabetic patients of the clinic who were selected using purposeful sampling method. Data were collected by semi-structured interviews and analysed using content analysis.
Results:
The qualitative findings of this research were obtained in two main categories including the following: (a) weak care delivery system and (b) defective diabetes self-care.
Conclusions:
The results of this research have demonstrated that there are system-centred and patient-centred challenges in diabetes management, and they can affect the patients' health outcomes.
Implications For Nursing Management:
Since diabetes is one of the health system priorities, the findings of this study can be a warning for managers and policy makers to plan seriously to reform diabetes management system infrastructures.
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