Loss of Time in the Treatment Adherence Process: A Qualitative Study in a Sample of Iranian People with Diabetes

Abstract

Diabetes is a significant public health problem and one of the causes of death and disability globally. One of the main problems with diabetes control is the lack of adherence to therapeutic regimens in people with diabetes. This study investigates the experiences and views of the Iranian people with diabetes to identify the challenges of the process of adherence to treatment. A grounded theory research design was used, incorporating in-depth interviews to collect the data. Using purposeful sampling, 28 people with type 2 diabetes (9 men, 19 women) from different places were included in the study. Constant comparative analysis was undertaken to identify key categories. The main challenge in this process is losing the golden time of preventing the complications of the disease that occurs for the following reasons: cultural habits and values, religious beliefs (believing diabetes was God’s will), resistance to change due to age, job conditions, lack of harmony in the family, and non-shared decision-making in the health system. People with diabetes go through trial and error in order to achieve awareness and insight, and consequently, adherence to treatment. Therefore, they need help and support to achieve insight and adherence to treatment faster and without complications. In fact, if the care plan is designed to encourage active patient participation by the treatment team in the shortest possible time, the time to achieve compliance will be shorter and will have the least side effects for these people.

SBAR Shift Report Training Program and its Effect on Nurses’ Knowledge and Practice and Their Perception of Shift Handoff Communication

“…The model explains 63% of the variation in the communication perception score. In line with this, a significant relationship between age and the resistance to change was previously demonstrated ( Mousavizadeh & Banazadeh, 2020 ).…”

Systematic review: Perceptions of type 2 diabetes of people of African descent living in high‐income countries

“…Our findings were consistent with that of Dimova et al (2019) who reported that perceptions of type 2 diabetes influenced self‐management behaviours. Similarly, Mousavizadeh et al (2018), Ledford et al (2019) and Dimova et al (2019) observed that diabetes perceptions underpinned by social and cultural contexts influence the uptake of recommended self‐care activities.…”

“…Our findings were consistent with that ofDimova et al (2019) who reported that perceptions of type 2 diabetes influenced self-management behaviours. Similarly,Mousavizadeh et al (2018),Ledford et al (2019) andDimova et al (2019) observed that diabetes perceptions underpinned by social and cultural contexts influence the uptake of recommended self-care activities.Studies involving other ethnic minority groups such as Kurdish immigrants(Abuelmagd et al, 2019) and migrants from Turkey, Morocco, Iraq and Curacao(Jager et al, 2019) identified similar findings Abuelmagd et al (2019). explored the experiences of managing type 2 diabetes, and the need for medical information of Kurdish immigrants in Norway, finding that they made changes to their diets with difficulty and neglected the need to improve their physical activity Jager et al (2019).…”

The experiences of nursing students using virtual education during the COVID-19 pandemic

“…However, participants noted that the university is expected to ensure that online tools work flawlessly in later stages and train their instructors on how to proceed with their teaching duties to correct inconsistencies. Students are expected to easily acquire new routines, participate in online classes and seminars, simulation and advanced tools become more commonly used, and online training is facilitated because losing opportunities in any field can be detrimental to the stakeholders [ 22 ]. Other studies showed that since the beginning of the Covid-19 pandemic, universities worldwide have been taking rapid steps to ensure that students continue to learn through e-learning and secure student well-being, and the activities of each university in this field are unique [ 23 , 24 ].…”