通过基于web的英国糖尿病健康论坛探索胰岛素治疗2型糖尿病的经验和前景卡塔尔世界杯8强波胆分析:定性专题分析线索%A艾伦-泰勒，Maya %A Ryan,Laura %A Winkley,Kirsty %A Upsher,Rebecca %+ Florence Nightingale护理，助产和姑息护理学院，伦敦国王学院，詹姆斯Clerk Maxwell大楼，47伦敦，SE1 8WA, 44 20 7836 5454, m.allen-taylor@kcl.ac.uk %K 2型糖尿病%K成人%K定性%K胰岛素%K互联网%K网络%D 2022 %7 5.10.2022 %9原创论文%J JMIR糖尿病%G英语%X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。 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. %M 36197724 %R 10.2196/34650 %U https://diabetes.www.mybigtv.com/2022/4/e34650 %U https://doi.org/10.2196/34650 %U http://www.ncbi.nlm.nih.gov/pubmed/36197724