Nasrin Soltani Molayaghobi1, Parvaneh Abazari1, Fariba Taleghani1, Bijan Iraj2. 1. Nursing and Midwifery Care Research Center, Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran. 2. Isfahan Endocrine and Metabolism Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.
Abstract
AIM: To explore and analyse diabetes management challenges in the patients visiting a diabetes unit in Iran. BACKGROUND: Managing a chronic disease like diabetes needs the patients' follow-up and coherent care delivery system. In fact, it requires a systematic and organised care delivery system with skilful and specialist team. METHODS: This qualitative research was conducted at a specialized poly-clinic of Isfahan insurance organisation in 2016. The research participants were the members of clinic diabetes unit (physician, nurse, secretary, clinic director) and 21 type 2 diabetic patients of the clinic who were selected using purposeful sampling method. Data were collected by semi-structured interviews and analysed using content analysis. RESULTS: The qualitative findings of this research were obtained in two main categories including the following: (a) weak care delivery system and (b) defective diabetes self-care. CONCLUSIONS: The results of this research have demonstrated that there are system-centred and patient-centred challenges in diabetes management, and they can affect the patients' health outcomes. IMPLICATIONS FOR NURSING MANAGEMENT: Since diabetes is one of the health system priorities, the findings of this study can be a warning for managers and policy makers to plan seriously to reform diabetes management system infrastructures.
AIM: To explore and analyse diabetes management challenges in the patients visiting a diabetes unit in Iran. BACKGROUND: Managing a chronic disease like diabetes needs the patients' follow-up and coherent care delivery system. In fact, it requires a systematic and organised care delivery system with skilful and specialist team. METHODS: This qualitative research was conducted at a specialized poly-clinic of Isfahan insurance organisation in 2016. The research participants were the members of clinic diabetes unit (physician, nurse, secretary, clinic director) and 21 type 2 diabeticpatients of the clinic who were selected using purposeful sampling method. Data were collected by semi-structured interviews and analysed using content analysis. RESULTS: The qualitative findings of this research were obtained in two main categories including the following: (a) weak care delivery system and (b) defective diabetes self-care. CONCLUSIONS: The results of this research have demonstrated that there are system-centred and patient-centred challenges in diabetes management, and they can affect the patients' health outcomes. IMPLICATIONS FOR NURSING MANAGEMENT: Since diabetes is one of the health system priorities, the findings of this study can be a warning for managers and policy makers to plan seriously to reform diabetes management system infrastructures.