Exploring facilitators and barriers to self-management engagement of Chinese people with type 2 diabetes mellitus and poor blood glucose control: a descriptive qualitative study

• Published in: BMC endocrine disorders 2022-11, Vol.22 (1), p.1-294, Article 294
• Main Authors: Liu, Yuan, Jiang, Jiajia, You, Wenjun, Gong, Dandan, Ma, Xiaoqing, Wu, Min, Li, Feng
• Format: Article
• Language: English
• Subjects: Activities of daily living; Analysis; Blood glucose; Blood sugar; Blood sugar monitoring; Data analysis; Data entry; Development and progression; Diabetes; Diabetes mellitus (non-insulin dependent); Diabetes therapy; Disease management; Disease susceptibility; Endocrinology; Glucose; Glucose monitoring; Health behavior; Health care; Hyperglycemia; Interviews; Knowledge; Mental disorders; Mental health; Mental illness; Outpatient care facilities; Patient education; Perceptions; Qualitative research; Qualitative study; Remission; Research methodology; Self-management; Social networks; Social support; Type 2 diabetes
• ISSN: 1472-6823; 1472-6823
• DOI: 10.1186/s12902-022-01214-0

Aims To explore facilitators and barriers to self-management engagement of Chinese people with poorly controlled type 2 diabetes. Methods Purposive sampling method was used for recruitment. Semi-structured interview and thematic analysis was used for data collection and analysis. Results Twenty-six semi-structured interviews were conducted. Poor blood glucose control introduced awareness of susceptibility to complications, while mental disorders could be concomitant. General knowledge about healthy lifestyle and unhealthy habits impeded lifestyle management. Temporary remission of hyperglycemia and no perceived symptoms interfered engagement of medication therapy and regular blood glucose monitoring. Family and work environments could impact self-management engagement. Accessibility to reliable diabetes-related information influenced self-management engagement. Conclusions Awareness of susceptibility to complications motivated self-management engagement, while the awareness could cause mental disorders that need to be addressed. Customized lifestyle plans and behavior change technologies were crucial for lifestyle management. The progression of diabetes, importance of continuity of medication therapy, and the value of blood glucose monitoring should be clarified in diabetes education. Building diabetes-friendly social environments and providing reliable diabetes-related information were essential. Keywords: Type 2 diabetes, Self-management, Qualitative study