Type 2 Diabetes Patients' Perspectives, Experiences, and Barriers Toward Diabetes-Related Self-Care: A Qualitative Study From Pakistan
Objective: This study aimed to qualitatively explore perspectives, practices, and barriers to self-care practices (eating habits, physical activity, self-monitoring of blood glucose, and medicine intake behavior) in urban Pakistani adults with type 2 diabetes mellitus (T2DM).Methods: Pakistani adult...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2020-11-01
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| Series: | Frontiers in Endocrinology |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/articles/10.3389/fendo.2020.534873/full |
| _version_ | 1818431435949735936 |
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| author | Allah Bukhsh Allah Bukhsh Bey-Hing Goh Bey-Hing Goh Bey-Hing Goh Bey-Hing Goh Bey-Hing Goh Edward Zimbudzi Edward Zimbudzi Clement Lo Clement Lo Sophia Zoungas Kok-Gan Chan Kok-Gan Chan Tahir Mehmood Khan Tahir Mehmood Khan |
| author_facet | Allah Bukhsh Allah Bukhsh Bey-Hing Goh Bey-Hing Goh Bey-Hing Goh Bey-Hing Goh Bey-Hing Goh Edward Zimbudzi Edward Zimbudzi Clement Lo Clement Lo Sophia Zoungas Kok-Gan Chan Kok-Gan Chan Tahir Mehmood Khan Tahir Mehmood Khan |
| author_sort | Allah Bukhsh |
| collection | DOAJ |
| description | Objective: This study aimed to qualitatively explore perspectives, practices, and barriers to self-care practices (eating habits, physical activity, self-monitoring of blood glucose, and medicine intake behavior) in urban Pakistani adults with type 2 diabetes mellitus (T2DM).Methods: Pakistani adults with T2DM were recruited from the outpatient departments of two hospitals in Lahore. Semistructured interviews were conducted and audiorecorded until thematic saturation was reached. Two researchers thematically analyzed the data independently using NVivo® software with differences resolved by a third researcher.Results: Thirty-two Pakistani adults (aged 35–75 years, 62% female) participated in the study. Six themes were identified from qualitative analysis: role of family and friends, role of doctors and healthcare, patients' understanding about diabetes, complication of diabetes and other comorbidities, burden of self care, and life circumstances. A variable experience was observed with education and healthcare. Counseling by healthcare providers, family support, and fear of diabetes-associated complications are the key enablers that encourage study participants to adhere to diabetes-related self-care practices. Major barriers to self care are financial constraints, physical limitations, extreme weather conditions, social gatherings, loving food, forgetfulness, needle phobia, and a hectic job.Conclusion: Respondents identified many barriers to diabetes self care, particularly related to life situations and diabetes knowledge. Family support and education by healthcare providers were key influencers to self-care practices among Pakistani people with diabetes. |
| first_indexed | 2024-12-14T15:49:16Z |
| format | Article |
| id | doaj.art-feece73ab88a480ba0b6b2a834c26ad7 |
| institution | Directory Open Access Journal |
| issn | 1664-2392 |
| language | English |
| last_indexed | 2024-12-14T15:49:16Z |
| publishDate | 2020-11-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Endocrinology |
| spelling | doaj.art-feece73ab88a480ba0b6b2a834c26ad72022-12-21T22:55:25ZengFrontiers Media S.A.Frontiers in Endocrinology1664-23922020-11-011110.3389/fendo.2020.534873534873Type 2 Diabetes Patients' Perspectives, Experiences, and Barriers Toward Diabetes-Related Self-Care: A Qualitative Study From PakistanAllah Bukhsh0Allah Bukhsh1Bey-Hing Goh2Bey-Hing Goh3Bey-Hing Goh4Bey-Hing Goh5Bey-Hing Goh6Edward Zimbudzi7Edward Zimbudzi8Clement Lo9Clement Lo10Sophia Zoungas11Kok-Gan Chan12Kok-Gan Chan13Tahir Mehmood Khan14Tahir Mehmood Khan15School of Pharmacy, Monash University, Subang Jaya, MalaysiaInstitute of Pharmaceutical Sciences, University of Veterinary and Animal Sciences, Lahore, PakistanSchool of Pharmacy, Monash University, Subang Jaya, MalaysiaInstitute of Pharmaceutical Sciences, University of Veterinary and Animal Sciences, Lahore, PakistanCollege of Pharmaceutical Sciences, Zhejiang University, Hangzhou, ChinaBiofunctional Molecule Exploratory Research Group, School of Pharmacy, Monash University Malaysia, Bandar Sunway, MalaysiaMalaysia School of Public Health and Preventive Medicine, Monash University, Melbourne, VIC, AustraliaSchool of Public Health and Preventive Medicine, Monash University, Melbourne, VIC, AustraliaDepartment of Nephrology, Monash Health, Melbourne, VIC, AustraliaSchool of Public Health and Preventive Medicine, Monash University, Melbourne, VIC, AustraliaMonash Diabetes, Monash Health, Melbourne, VIC, AustraliaSchool of Public Health and Preventive Medicine, Monash University, Melbourne, VIC, AustraliaDivision of Genetics and Molecular Biology, Faculty of Science, Institute of Biological Sciences, University of Malaya, Kuala Lumpur, Malaysia0Guangdong Provincial Key Laboratory of Marine Biology, Institute of Marine Sciences, Shantou University, Shantou, ChinaSchool of Pharmacy, Monash University, Subang Jaya, MalaysiaInstitute of Pharmaceutical Sciences, University of Veterinary and Animal Sciences, Lahore, PakistanObjective: This study aimed to qualitatively explore perspectives, practices, and barriers to self-care practices (eating habits, physical activity, self-monitoring of blood glucose, and medicine intake behavior) in urban Pakistani adults with type 2 diabetes mellitus (T2DM).Methods: Pakistani adults with T2DM were recruited from the outpatient departments of two hospitals in Lahore. Semistructured interviews were conducted and audiorecorded until thematic saturation was reached. Two researchers thematically analyzed the data independently using NVivo® software with differences resolved by a third researcher.Results: Thirty-two Pakistani adults (aged 35–75 years, 62% female) participated in the study. Six themes were identified from qualitative analysis: role of family and friends, role of doctors and healthcare, patients' understanding about diabetes, complication of diabetes and other comorbidities, burden of self care, and life circumstances. A variable experience was observed with education and healthcare. Counseling by healthcare providers, family support, and fear of diabetes-associated complications are the key enablers that encourage study participants to adhere to diabetes-related self-care practices. Major barriers to self care are financial constraints, physical limitations, extreme weather conditions, social gatherings, loving food, forgetfulness, needle phobia, and a hectic job.Conclusion: Respondents identified many barriers to diabetes self care, particularly related to life situations and diabetes knowledge. Family support and education by healthcare providers were key influencers to self-care practices among Pakistani people with diabetes.https://www.frontiersin.org/articles/10.3389/fendo.2020.534873/fulltype 2 dabetesself-careself-monitoring blood glucose (SMBG)barriers and facilitative factorsexercicediet |
| spellingShingle | Allah Bukhsh Allah Bukhsh Bey-Hing Goh Bey-Hing Goh Bey-Hing Goh Bey-Hing Goh Bey-Hing Goh Edward Zimbudzi Edward Zimbudzi Clement Lo Clement Lo Sophia Zoungas Kok-Gan Chan Kok-Gan Chan Tahir Mehmood Khan Tahir Mehmood Khan Type 2 Diabetes Patients' Perspectives, Experiences, and Barriers Toward Diabetes-Related Self-Care: A Qualitative Study From Pakistan Frontiers in Endocrinology type 2 dabetes self-care self-monitoring blood glucose (SMBG) barriers and facilitative factors exercice diet |
| title | Type 2 Diabetes Patients' Perspectives, Experiences, and Barriers Toward Diabetes-Related Self-Care: A Qualitative Study From Pakistan |
| title_full | Type 2 Diabetes Patients' Perspectives, Experiences, and Barriers Toward Diabetes-Related Self-Care: A Qualitative Study From Pakistan |
| title_fullStr | Type 2 Diabetes Patients' Perspectives, Experiences, and Barriers Toward Diabetes-Related Self-Care: A Qualitative Study From Pakistan |
| title_full_unstemmed | Type 2 Diabetes Patients' Perspectives, Experiences, and Barriers Toward Diabetes-Related Self-Care: A Qualitative Study From Pakistan |
| title_short | Type 2 Diabetes Patients' Perspectives, Experiences, and Barriers Toward Diabetes-Related Self-Care: A Qualitative Study From Pakistan |
| title_sort | type 2 diabetes patients perspectives experiences and barriers toward diabetes related self care a qualitative study from pakistan |
| topic | type 2 dabetes self-care self-monitoring blood glucose (SMBG) barriers and facilitative factors exercice diet |
| url | https://www.frontiersin.org/articles/10.3389/fendo.2020.534873/full |
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