埃塞俄比亚北绍阿地区糖尿病自我管理的生活体验：一项现象学研究
Lived experiences of diabetes self-management in North Shoa, Ethiopia: A phenomenological inquiry.
摘要(中文译文)
尽管政府做出了努力，但由于存在复杂的障碍，许多患者的糖尿病自我管理仍然不足。了解自我照护实践的生活体验和障碍对于促进行为改变、实现个人健康目标以改善糖尿病管理至关重要。因此，本研究旨在探讨糖尿病患者在坚持自我照护实践中所经历的生活体验和面临的障碍。这项现象学研究于2024年7月1日至30日在北绍阿地区开展。研究共纳入25名参与者，包括来自四个地区的20名糖尿病患者和5名医疗信息提供者。参与者采用最大变异抽样法选取，考虑了年龄、性别、婚姻状况、职业和糖尿病类型等因素。研究使用经过预测试的访谈指南收集数据，随后对数据进行录音、转录，并使用ATLAS.Ti软件进行分析。研究采用主题框架来识别与糖尿病自我照护及其实践障碍相关的关键编码、子主题和主主题。研究发现，糖尿病自我管理行为不足，主要归因于个体、人际和社区层面的障碍。尽管大多数患者对处方药物摄入的依从性较高，但许多患者在自我血糖监测、饮食、规律体育活动和足部护理方面的实践仍然不足。主要障碍包括自我照护知识有限、社会经济限制、缺乏指导、动机低下、压力、社会支持有限、文化影响以及资源获取困难。由于存在若干具有挑战性的障碍，糖尿病自我照护不足。为改善这些实践，至关重要的是整合行为改变干预措施、提供心理健康支持、实施压力管理策略，并促进社区伙伴关系，以在各层面全面应对障碍。
Abstract
Despite government efforts, diabetes self-management remains inadequate for many patients due to complex barriers. Understanding the lived experiences and barriers to self-care practices is essential for facilitating behavior change and achieving personal health goals for improved diabetes management. Therefore, this study aimed to explore the lived experiences and barriers faced by individuals living with diabetes in adhering to their self-care practices. This phenomenological study was carried out in the North Shoa Zone from 1 to 30 July 2024. The study consisted of a total of 25 participants, 20 diabetic patients and five healthcare informants from four districts. The participants were selected using maximum variation sampling method, considering factors such as age, sex, marital status, occupation, and type of diabetes. A pretested interview guide was used to gather the data, which were then recorded, transcribed, and analyzed with ATLAS.Ti software. A thematic framework was applied to identify key codes, subthemes, and main themes associated with diabetes self-care and the barriers to its practice. Diabetes self-management behaviors were found to be insufficient, mainly due to barriers at the individual, interpersonal, and community levels. Despite high adherence to prescribed medications intake among most patients, many still have inadequate practices in self-blood glucose monitoring, diet, regular physical activity, and foot care. Key barriers included limited knowledge of self-care, socioeconomic constraints, lack of guidance, low motivation, stress, limited social support, cultural influences, and poor access to resources. Diabetes self-care was inadequate due to several challenging barriers. To improve these practices, it is crucial to integrate behavioral change interventions, provide mental health support, implement stress management strategies, and foster community partnerships to address barriers comprehensively at all levels.
如何引用
AMA
Akine Eshete, Abera Lambebo, Lemma Getacher, Tewodros Kifleyohans, Yibeltal Assefa, Hendry Van Der Heever, et al. Lived experiences of diabetes self-management in North Shoa, Ethiopia: A phenomenological inquiry.. PloS one. 2026; doi:10.1371/journal.pone.0316505.
APA
Akine Eshete, Abera Lambebo, Lemma Getacher, Tewodros Kifleyohans, Yibeltal Assefa, Hendry Van Der Heever, et al (2026). Lived experiences of diabetes self-management in North Shoa, Ethiopia: A phenomenological inquiry.. PloS one. https://doi.org/10.1371/journal.pone.0316505
GB/T 7714
Akine Eshete, Abera Lambebo, Lemma Getacher, Tewodros Kifleyohans, Yibeltal Assefa, Hendry Van Der Heever, et al. Lived experiences of diabetes self-management in North Shoa, Ethiopia: A phenomenological inquiry.[J]. PloS one, 2026 doi:10.1371/journal.pone.0316505.
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