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2型糖尿病患者的健康寻求行为如何发展:基于中国健康信念模型的定性研究
Qiu-Hui Du1, Zi-Chen Zhang1, You Yang2
1Department of Nursing, Harbin Medical University (Daqing), Daqing, China.
Frontiers in public health
|July 24, 2024
概括
2型糖尿病患者往往低估了寻求医疗保健的疾病风险和益处. 干预措施应涉及医疗保健提供者和支持网络,以改善寻求健康的行为和有效管理糖尿病.
科学领域:
- 医学社会学 医学社会学
- 公共卫生 公共卫生
- 健康心理学 心理健康心理学
背景情况:
- 2型糖尿病 (T2DM) 是一个全球性的健康问题,具有显著的多系统并发症,造成长期的健康和经济负担.
- 对于T2DM患者来说,有效的健康寻求行为 (HSB) 对于管理并发症至关重要,但它在全球范围内仍然不理想.
- 了解影响T2DM患者HSB的因素对于开发有针对性的干预措施至关重要.
研究的目的:
- 探索2型糖尿病患者寻求健康行为的发育逻辑.
- 确定影响T2DM患者寻求健康行为的关键影响因素.
- 为改善T2DM患者的健康寻求行为提供基础.
主要方法:
- 在中国一家三级医院对26名T2DM患者进行深入采访的定性研究.
- 用有目的的抽样来选择参与者.
- 使用以健康信念模型 (HBM) 为指导的主题分析,并对新出现的主题进行诱导推理.
主要成果:
- 七个主题出现了:T2DM诊断/严重性,治疗/管理,感知易感性/进展严重性,感知HSB的好处/障碍,以及对行为线索的感知.
- 患者往往缺乏可靠的信息,并认为T2DM进展缓慢,低估了长期风险.
- 关于有效的健康寻求行为的保护作用,人们普遍缺乏充分的理解.
结论:
- 对T2DM患者寻求健康行为的挑战源于低估了风险和益处.
- 建议针对医疗保健提供者,患者及其支持网络的多方面的干预措施.
- 提高患者对适当健康寻求实践的理解和能力对于更好的T2DM管理至关重要.
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