泰国监狱中糖尿病和高血压管理的持久不平等:一种定性研究
Ratsiri Thato1, Sirinapha Jittimanee1, Chutima Charuenporn2
1Center of Excellence for Enhancing Well-being in Vulnerable and Chronic Illness Populations, Faculty of Nursing, Chulalongkorn University, Bangkok, Thailand.
Journal of patient experience
|July 29, 2025
概括
在监狱中管理糖尿病和高血压是具有挑战性的,因为资源限制和忽视,迫使被监禁的人自力更生. 有针对性的策略对于改善在惩戒设施中的慢性疾病护理至关重要.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 校正医疗保健 校正医疗保健 校正医疗保健
背景情况:
- 监狱中的糖尿病和高血压管理是资源密集和具有挑战性的.
- 监禁人员面临着严重的障碍,无法获得适合慢性疾病的医疗保健.
- 监狱内的现有医疗保健系统往往难以满足这群人的复杂需求.
研究的目的:
- 探索被监禁人员在获取糖尿病和高血压的医疗保健资源方面的经验.
- 确定囚犯在管理这些慢性疾病时所面临的挑战和障碍.
- 了解参与者使用的应对机制和自力更生策略.
主要方法:
- 使用焦点小组讨论和非参与式观察的定性描述性研究.
- 在6个泰国监狱中对60名参与者 (30名患有糖尿病和高血压的风险,30名被诊断患有糖尿病和高血压) 进行了有目的的抽样.
- 使用Braun和Clarke框架进行主题分析,分析2023年9月至12月期间收集的数据.
主要成果:
- 确定了三个关键主题:"资源限制" (不足的规定,例如饮食),"忽视" (查不平等,监测有限) 和"自力更生" (应对压力和独立管理关键情况).
- 调查结果表明,医疗保健资源不足和医疗保健获取和质量的差异造成了重大困难.
- 参与者报告说,由于被忽视和缺乏支持,他们有很高的自我管理能力.
结论:
- 在监狱环境中,糖尿病和高血压管理存在实质性的不平等.
- 目前的医疗保健规定不足,导致监禁人员面临重大挑战.
- 迫切需要有针对性的战略来加强慢性疾病管理和改善监狱中的健康公平.
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