%0期刊文章%@ 1438- 8871% I JMIR出版物%V 20卡塔尔世界杯8强波胆分析% N 2% P e40% T成人2型糖尿病的数字健康干预:糖尿病自我管理教育和支持患者观点的定性研究A Pal,Kingshuk %A Dack,Charlotte %A Ross,Jamie %A Michie,Susan %A May,Carl %A Stevenson,Fiona %A Farmer,Andrew %A Yardley,Lucy %A Barnard,Maria %A Murray,Elizabeth +伦敦大学学院初级保健和人口健康系，皇家自由医院，伦敦，NW32PF，皇家自由医院，4 020 7794 0500 ext 38826, k.pal@ucl.ac.uk %K糖尿病，2型K自我管理%K患者教育%K电子健康%K移动健康%K定性研究%D 2018 %7 20.02.2018 %9原始论文%J J医学互联网Res %G英文%X背景:2型糖尿病的患病率在全球范围内呈上升趋势，许多国家的卫生服务都在努力应对与这种长期疾病并发症相关的发病率、死亡率和成本。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。 Results: The data generated by the focus groups illustrated the significant burden that the diagnosis of diabetes places on many patients and the negative impacts on their emotional well-being, work, social life, and physical health. 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. %M 29463488 %R 10.2196/jmir.8439 %U //www.mybigtv.com/2018/2/e40/ %U https://doi.org/10.2196/jmir.8439 %U http://www.ncbi.nlm.nih.gov/pubmed/29463488