The adherence of diabetic patients to their medication regimen is associated with many psychosocial factors that are still unknown. Therefore, the present study aims to identify the psychosocial barriers to medication adherence of patients with type2 diabetes (T2D). This descriptive qualitative study was done in Isfahan, Iran by conducting in-depth unstructured interviews with 23 purposively selected patients with T2D and 10 healthcare providers (HCPs). The participants were interviewed face-to-face between November 2017 and June 2018 at the patient’s home, a Health Care Center, or at the diabetes clinic. Data analysis was performed using MAXQDA-10 software and the conventional content analysis. The analysis of the data led to six categories of perceived psychosocial barriers: 1) fear, concern and distress, 2) exhaustion and burnout, 3) the children’s issues being the priority, 4) poor financial support, 5) communication challenges, and 6) poor work conditions. This study identified some of the psychosocial barriers to medication adherence of patients with T2D, which will be of great help to researchers and HCPs in designing and implementing effective interventions to overcome these barriers and change patient self-care behaviors and increase their medication adherence.

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2型糖尿病患者依从性的心理社会障碍：定性研究

糖尿病患者对他们的药物治疗方案的依从性与许多未知的社会心理因素有关。因此，本研究旨在确定2型糖尿病（T2D）患者依从性的心理社会障碍。这项描述性的定性研究是在伊朗伊斯法罕进行的，该研究通过对23位有意选择的T2D患者和10位医疗服务提供者（HCP）进行了深入的非结构化访谈。在2017年11月至2018年6月期间，在患者家中，健康护理中心或糖尿病诊所对参与者进行了面对面的采访。使用MAXQDA-10软件和常规内容分析进行数据分析。对数据的分析导致了六类感知到的社会心理障碍：1）恐惧，担忧和困扰； 2）精疲力竭和倦怠；3）儿童问题为重中之重； 4）经济支持不佳； 5）沟通挑战； 6）工作条件恶劣。这项研究确定了2型糖尿病患者药物依从性的一些社会心理障碍，这将对研究人员和HCP设计和实施有效的干预措施以克服这些障碍并改变患者的自我护理行为并增加其药物依从性有很大帮助。