The main objective of this research work was to explore the healthcare professionals’ perspectives of type 2 diabetes patients’ experiences of self-management of diabetes in the rural area of Pakistan. In this study, we have carried out a methodological approach to use a self-management framework to direct the interview guide for healthcare professionals to examine their perceptions and expectations of their diabetes patients’ adherence to the medications prescribed. Twenty healthcare professionals were recruited in this study consisting of ten general practitioners and ten nurses from various clinics (medical centres) of Al-Rehman Hospital at Abbottabad, Pakistan. This qualitative study explored the feelings and opinions of general practitioners on patients’ compliance and adherence by using the semi-structured interview guide using a methodological framework. All interviews of participants were audiotaped and transcribed for content analysis. Six major themes were identified: patient–doctor relationship; patient’s non-adherence to diet and exercise; conflicts with the patients; low self-efficacy and feeling of “resignation with poor care”; the influence of culture on patients’ self-management activities and lack of support for patients by health care providers, patients, and their families. We have derived relevant solutions from qualitative studies and considered that communication, tailored, and shared care is the best approach for patient adherence to treatment. GPs felt that a structured consultation and follow-up in a multidisciplinary team might help to increase adherence. The results of this qualitative health research highlighted the challenges healthcare professionals are facing in rural Pakistan in managing patients with type 2 diabetes and supporting their management activities. Healthcare professionals and patients may benefit by adopting a methodological framework approach to ensure meaningful participation and adjusting the patient–doctor relationship, and setting up achievable management and self-management goals.

中文翻译：

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医疗保健专业人员对巴基斯坦农村地区 2 型糖尿病患者自我管理体验的看法：定性分析

这项研究工作的主要目的是探索医疗保健专业人员对巴基斯坦农村地区 2 型糖尿病患者自我管理糖尿病经验的看法。在这项研究中，我们采用了一种方法论方法，使用自我管理框架来指导医疗保健专业人员的访谈指南，以检查他们对糖尿病患者对处方药依从性的看法和期望。本研究招募了 20 名医疗保健专业人员，其中包括来自巴基斯坦阿伯塔巴德 Al-Rehman 医院各个诊所（医疗中心）的 10 名全科医生和 10 名护士。这项定性研究通过使用方法论框架的半结构化访谈指南，探讨了全科医生对患者依从性和依从性的感受和意见。对参与者的所有采访都进行了录音和转录以进行内容分析。确定了六个主要主题：医患关系；患者不坚持饮食和运动；与患者发生冲突；自我效能感低，有“舍不得”的感觉；文化对患者自我管理活动的影响以及卫生保健提供者、患者及其家人对患者缺乏支持。我们从定性研究中得出相关解决方案，并认为沟通、量身定制和共享护理是患者坚持治疗的最佳方法。全科医生认为，多学科团队的结构化咨询和随访可能有助于提高依从性。这项定性健康研究的结果突显了巴基斯坦农村的医疗保健专业人员在管理 2 型糖尿病患者和支持他们的管理活动方面面临的挑战。医疗保健专业人员和患者可以通过采用方法论框架方法来确保有意义的参与和调整医患关系，以及设定可实现的管理和自我管理目标而受益。这项定性健康研究的结果突显了巴基斯坦农村的医疗保健专业人员在管理 2 型糖尿病患者和支持他们的管理活动方面面临的挑战。医疗保健专业人员和患者可以通过采用方法论框架方法来确保有意义的参与和调整医患关系，以及设定可实现的管理和自我管理目标而受益。这项定性健康研究的结果突显了巴基斯坦农村的医疗保健专业人员在管理 2 型糖尿病患者和支持他们的管理活动方面面临的挑战。医疗保健专业人员和患者可以通过采用方法论框架方法来确保有意义的参与和调整医患关系，以及设定可实现的管理和自我管理目标而受益。