TY -的AU -泰勒,玛雅盟——瑞安,劳拉盟——Winkley Kirsty AU - Upsher,丽贝卡PY - 2022 DA - 2022/10/5 TI -探索的经验和观点在英国通过基于web的2型糖尿病胰岛素治疗糖尿病健康论坛:定性专题分析的线程乔- JMIR糖尿病SP - e34650六世- 7 - 4 KW - 2型糖尿病KW -成人KW -定性KW -胰岛素KW -互联网KW -基于web的AB -背景:尽管出现了2型糖尿病(T2D)缓解策略和新的治疗药物，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。共有3名独立研究人员通过专题分析分析了论坛的帖子和帖子。通过转述成员的引用来确定相关主题并加以说明，以确保匿名。在研究期间，我们分析了29个英国糖尿病论坛的299个帖子和28个糖尿病论坛的295个帖子。总共有57个线程符合纳入标准，并被纳入最终分析。 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. SN - 2371-4379 UR - https://diabetes.www.mybigtv.com/2022/4/e34650 UR - https://doi.org/10.2196/34650 UR - http://www.ncbi.nlm.nih.gov/pubmed/36197724 DO - 10.2196/34650 ID - info:doi/10.2196/34650 ER -