Abstract
IntroductionSelf-care behaviors in diabetic patients is considered an important factor for controlling the diabetes. Therefore, diabetic patients need training the self-care behaviors to control this disease. This study aims to investigate the reasons for diabetic patients’ non-participation in a self-care training program.MethodThis qualitative study was carried out between 1 April to 1 July 2019. We used in-depth semi-structured interviews with 30 diabetic patients who did not participate in the self-care training program. Data analysis was conducted using content analysis with MAXQDA software.FindingsThe results of this study showed that there are 5 themes and 14 sub-themes for patients’ non-participation in self-care training program. Themes included access; individual, familial and social factors; attitude and awareness; motivator factors and need Factors. Also sub-themes were physical access, time access, physical abilities, social-familial responsibilities, attitude to disease, attitude to education, attitude to health, awareness, incentive, communication, teaching methods, perceived risk, access to other educational resources and self-efficacy.ConclusionAccording to the results of this study, simple physical and time access, offering high-quality education, providing virtual and distant training, organizing and designing modern training methods can lead to increase participation in self-care training programs.
Highlights
Self-care behaviors in diabetic patients is considered an important factor for controlling the diabetes
Diabetes is among metabolic and multifactorial disorders characterized by high blood sugar or hyperglycemia, which is due to a disruption in insulin secretion or function, or both [1]
Regarding the money and time spent in planning and structuring self-care training schemes, discovering the reason why diabetic patients do not complete their self-care training program and abandon it halfway is warranted in order to achieve success in selfcare schemes
Summary
Self-care behaviors in diabetic patients is considered an important factor for controlling the diabetes. Most studies conducted on self-care schemes assessed the effects of training programs on enabling and behavior change in diabetic patients [11,12,13,14,15,16]; few studies have been examined the effective factors in patients’ non-participation in self-care schemes from the point of view of those who have abandoned self-care schemes [10, 17]. Both previous studies were conducted in developed countries (Canada and Germany) [10, 17]. This study seeks to investigate the reasons for diabetic patients’ non-participation in selfcare training schemes
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