@文章{info:doi/10.2196/34650，作者="艾伦-泰勒，玛雅和瑞恩，劳拉和温kley, Kirsty和Upsher，丽贝卡"，标题="通过基于web的英国糖尿病健康论坛探索2型糖尿病的胰岛素治疗的经验和前景:线程的定性主题分析"，期刊="JMIR糖尿病"，年="2022"，月=" 10 "，日="5"，卷="7"，数="4"，页="e34650"，关键词="2型糖尿病;成年人;定性的;胰岛素;互联网;背景:尽管2型糖尿病(T2D)缓解策略和新的治疗药物的出现，许多T2D患者仍需要胰岛素治疗来达到目标血糖，以预防或延迟糖尿病并发症。然而，胰岛素拒绝和停止治疗在这一组是常见的，他们的需求被低估和相对未被探索。目的:本研究旨在探讨在网络健康论坛上表达胰岛素治疗的T2D患者的经验和观点，以便为基于证据的结构化教育和支持策略的发展提供信息，并提高医疗保健提供者的意识。方法:在12个月期间(2019-2020年8月)，对来自英国两个最大的、免费和公开可访问的糖尿病健康论坛的回顾性归档论坛帖子进行了筛选。在Diabetes UK和Diabetes.co. UK论坛上搜索相关帖子。 A total of 3 independent researchers analyzed the forum threads and posts via thematic analysis. Pertinent themes were identified and illustrated by paraphrasing members' quotes to ensure anonymity. A total of 299 posts from 29 threads from Diabetes UK and 295 posts from 28 threads Diabetes.co.uk were analyzed over the study period. In all, 57 threads met the inclusion criteria and were included in the final analysis. Results: Four overarching themes were generated to illustrate the unmet needs that prompted members to seek information, advice, and support regarding insulin therapy outside of their usual care provision via the forums: empowerment through sharing self-management strategies, seeking and providing extended lifestyle advice, relationships with health care professionals, and a source of psychological peer support. Conclusions: This is the first study to collect data from web-based health forums to characterize the experiences and perspectives of people with T2D for whom insulin therapy is indicated. The observed naturalistic conversations have generated useful insights; our findings suggest that there are significant unmet self-management and psychological needs within this group that are not being met elsewhere, prompting the seeking of information and support on the web. These include practical aspects such as insulin injection technique, storage and dose titration, driving and travel considerations, the emerging use of technology, and a strong interest in the effects of extended lifestyle (diet and activity) approaches to support insulin therapy. In addition, problematic relationships with health care professionals appear to be a barrier to effective insulin therapy for some. In contrast, seeking and offering mutually beneficial, practical, and psychological support from peers was viewed as enabling. The study results will help to directly inform insulin-focused self-management and support strategies to enable individuals in this group to achieve their best outcomes. ", issn="2371-4379", doi="10.2196/34650", url="https://diabetes.www.mybigtv.com/2022/4/e34650", url="https://doi.org/10.2196/34650", url="http://www.ncbi.nlm.nih.gov/pubmed/36197724" }