PDF(Pubmed)
Abstract：
BACKGROUND: Self-management is highly recommended in managing type 2 diabetes mellitus (T2DM). Amid the coronavirus disease 2019 (COVID-19) lockdown, many restrictions were imposed, which might have affected the continuum of care and self-management. However, little is known about how people with T2DM experienced self-management during COVID-19 lockdown within the primary health care (PHC) facilities.
OBJECTIVE: The study explored and described the self-management challenges of adults with T2DM in Ekurhuleni PHC facilities amid COVID-19 level 5 and 4 lockdowns.
METHODS: The study was conducted in three community health centres in Ekurhuleni which are rendering PHC services.
METHODS: A phenomenological, qualitative, exploratory, and descriptive design was utilised. Purposive sampling was used to select adult patients with T2DM. Data were collected telephonically between July 2022 and August 2022 using semi-structured interviews. Inductive content analysis was used to analyse data.
RESULTS: Two themes emerged from the interviews, namely, uncontrolled blood glucose levels and financial challenges.
CONCLUSIONS: The patients with T2DM experienced uncontrolled blood glucose levels and financial challenges during the COVID-19 lockdown. Guidelines to improve self-management programmes during restrictions are needed to promote good health during future pandemics to prevent complications and mortality. The telehealth model can be designed to monitor chronic patients at home during lockdown as a two-way communication.Contribution: More knowledge and insight into self-management and health promotion of patients with T2DM was provided by this study. Increased training needs arose for PHC nurses in managing and monitoring patients.
OBJECTIVE: The study explored and described the self-management challenges of adults with T2DM in Ekurhuleni PHC facilities amid COVID-19 level 5 and 4 lockdowns.
METHODS: The study was conducted in three community health centres in Ekurhuleni which are rendering PHC services.
METHODS: A phenomenological, qualitative, exploratory, and descriptive design was utilised. Purposive sampling was used to select adult patients with T2DM. Data were collected telephonically between July 2022 and August 2022 using semi-structured interviews. Inductive content analysis was used to analyse data.
RESULTS: Two themes emerged from the interviews, namely, uncontrolled blood glucose levels and financial challenges.
CONCLUSIONS: The patients with T2DM experienced uncontrolled blood glucose levels and financial challenges during the COVID-19 lockdown. Guidelines to improve self-management programmes during restrictions are needed to promote good health during future pandemics to prevent complications and mortality. The telehealth model can be designed to monitor chronic patients at home during lockdown as a two-way communication.Contribution: More knowledge and insight into self-management and health promotion of patients with T2DM was provided by this study. Increased training needs arose for PHC nurses in managing and monitoring patients.
摘要：
背景：在管理2型糖尿病（T2DM）时，高度推荐自我管理。在2019年冠状病毒病(COVID-19)封锁期间，施加了许多限制，这可能会影响护理和自我管理的连续性。然而,对于T2DM患者在初级卫生保健(PHC)设施内的COVID-19封锁期间如何经历自我管理知之甚少。
目的：该研究探索并描述了在COVID-195级和4级封锁下，EkurhuleniPHC设施中T2DM成人的自我管理挑战。
方法：这项研究是在Ekurhuleni的三个社区卫生中心进行的，这些中心正在提供PHC服务。
方法：现象学，定性，探索性,并使用了描述性设计。目的抽样用于选择成年T2DM患者。数据是在2022年7月至2022年8月之间使用半结构化访谈通过电话收集的。采用归纳内容分析法对数据进行分析。
结果：采访中出现了两个主题，即,不受控制的血糖水平和财务挑战。
结论：T2DM患者在COVID-19封锁期间经历了血糖水平失控和财务挑战。需要在限制期间改进自我管理方案的指导方针，以促进未来大流行期间的良好健康，以防止并发症和死亡。远程医疗模型可以设计为在封锁期间以双向通信的方式监控家中的慢性病患者。贡献：本研究为T2DM患者的自我管理和健康促进提供了更多的知识和见解。PHC护士在管理和监测患者方面的培训需求增加。
目的：该研究探索并描述了在COVID-195级和4级封锁下，EkurhuleniPHC设施中T2DM成人的自我管理挑战。
方法：这项研究是在Ekurhuleni的三个社区卫生中心进行的，这些中心正在提供PHC服务。
方法：现象学，定性，探索性,并使用了描述性设计。目的抽样用于选择成年T2DM患者。数据是在2022年7月至2022年8月之间使用半结构化访谈通过电话收集的。采用归纳内容分析法对数据进行分析。
结果：采访中出现了两个主题，即,不受控制的血糖水平和财务挑战。
结论：T2DM患者在COVID-19封锁期间经历了血糖水平失控和财务挑战。需要在限制期间改进自我管理方案的指导方针，以促进未来大流行期间的良好健康，以防止并发症和死亡。远程医疗模型可以设计为在封锁期间以双向通信的方式监控家中的慢性病患者。贡献：本研究为T2DM患者的自我管理和健康促进提供了更多的知识和见解。PHC护士在管理和监测患者方面的培训需求增加。
