TY - JOUR AU - Pal, Kingshuk AU - Dack, Charlotte AU - Ross, Jamie AU - Michie, Susan AU - May, Carl AU - Stevenson, Fiona AU - Farmer, Andrew AU - Yardley, Lucy AU - Barnard, Maria AU - Murray, Elizabeth PY - 2018 DA - 2018/02/20 TI -成人2型糖尿病的数字健康干预:定性研究的患者的角度对糖尿病自我管理教育和支持乔- J地中海互联网Res SP - e40六世- 20 - 2 KW -糖尿病,类型2 KW -自我管理KW -病人教育KW -电子健康KW - mHealth KW -定性研究AB -背景:2型糖尿病的患病率增加,全球和卫生服务在许多国家正艰难应对发病率,死亡率,和成本与并发症相关的长期条件。糖尿病自我管理教育(DSME)和行为支持可以降低发生糖尿病相关并发症的风险，改善血糖控制。然而，它们的吸收率很低。数字健康干预(DHI)可以提供持续的支持，并可能克服与参加糖尿病自我管理会议相关的挑战。它们有可能在方便的时间在多个地点交付，匿名性，并以有吸引力的和量身定制的格式呈现内容。本研究调查了2型糖尿病患者的需求和愿望，为数字化自我管理教育和支持的发展提供信息。目的:本研究的目的是探讨患者对未满足的自我管理和支持需求的看法，以及DHI在成人2型糖尿病患者中的作用。方法:本研究采用基于4个焦点组20例患者的数据的定性方法。结果:由焦点小组产生的数据说明了糖尿病诊断给许多患者带来的重大负担，以及对他们的情绪健康、工作、社会生活和身体健康的负面影响。 Although patients’ experiences of the health care services varied, there was agreement that even the best services were unable to meet all users’ needs to support the emotional regulation, psychological adjustment, and behavioral changes needed for successful self-management. Conclusions: By focusing on medical management and information provision, existing health care services and education programs may not be adequately meeting all the needs of patients with type 2 diabetes. DHIs have the potential to improve access to DSME and behavioral support and extend the range of content offered by health services to fit with a wider range of patient needs. Features that could help DHIs address some of the unmet needs described by participants in this study included placing an emphasis on emotional and role management, being available at all times, having up-to-date evidence-based guidance for patients, and providing access to peer-generated and professional advice. SN - 1438-8871 UR - //www.mybigtv.com/2018/2/e40/ UR - https://doi.org/10.2196/jmir.8439 UR - http://www.ncbi.nlm.nih.gov/pubmed/29463488 DO - 10.2196/jmir.8439 ID - info:doi/10.2196/jmir.8439 ER -