期刊
BMJ OPEN
卷 5, 期 1, 页码 -出版社
BMJ PUBLISHING GROUP
DOI: 10.1136/bmjopen-2014-006407
关键词
-
资金
- University of Malaya, Malaysia [PV109-2012A]
Objective: To explore factors influencing poor glycaemic control in people with type 2 diabetes using insulin. Research design: A qualitative method comprising in-depth individual interviews. A semistructured interview guide was used. The interviews were audiorecorded, transcribed verbatim and analysed using a thematic approach. Participants: Seventeen people with type 2 diabetes using insulin with glycated haemoglobin (HbA1c) >= 9% for >1 year. Setting: The Primary Care Clinic and Diabetes Clinic in the University of Malaya Medical Centre (UMMC), Malaysia. Results: Data analysis uncovered four themes: lifestyle challenges in adhering to medical recommendations; psychosocial and emotional hurdles; treatment-related factors; lack of knowledge about and self-efficacy in diabetes self-care. Conclusions: Factors that explain the poor glycaemic control in people with type 2 diabetes using insulin were identified. Healthcare providers could use these findings to address patients' concerns during consultations and help to improve glycaemic control.
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