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了解糖尿病前期患者遵守生活方式变化的障碍和促进因素:一项定性研究
Ana Sofia Carvalho-Azevedo1,2,3, Raquel Sebastián-Hernández1,4, Manuela Abbate1,2,3
1Department of Nursing and Physiotherapy, University of the Balearic Islands (UIB), Palma, Balearic Islands, Spain.
性别和社会阶级等社会因素对糖尿病前期的管理有重大影响. 解决这些社会决定因素对于有效的生活方式干预和预防2型糖尿病进展至关重要.
科学领域:
- 公共卫生 公共卫生
- 健康的社会决定因素
- 行为科学 行为科学
背景情况:
- 糖尿病前期管理需要改变生活方式,以预防2型糖尿病.
- 坚持生活方式的改变是复杂的,受社会决定因素的影响.
- 诸如性别,社会阶级,支持系统和患者与专业人员的关系等因素会影响行为改变能力.
研究的目的:
- 探索性别,社会阶级,社会支持和患者与专业人员的关系如何影响糖尿病前期患者遵守生活方式修改.
主要方法:
- 具有批判性的社会视角的民族方法学研究.
- 通过半结构面试,焦点小组收集的数据,并支持网络映射.
- 分析结合了主题内容分析和批判性话语分析;通过三角化和反射性确保了严谨.
主要成果:
- 女人面临着诸如工作超负荷和照顾等障碍;男性通常拥有更强大的家庭支持.
- 较低社会经济地位的参与者经历了健康选择和炼的财务和时间限制.
- 与医疗保健专业人员建立信任关系,有助于持续改变生活方式.
结论:
- 性别和社会阶级是糖尿病前期管理的关键决定因素.
- 针对社会决定因素的个性化,以公平为重点的干预措施对于预防策略至关重要.
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