Data analysis and the relationship between doctors and patients with type-2 diabetes in the treatment process
Researcher Bulletin of Medical Sciences,
Vol. 27 No. 1 (2022),
,
Page e5
Abstract
Background & Objective: Doctor-patient relationship plays an important role in adherence of patients to treatment instructions. This study tries to examine the relationship between physicians and patients with type 2 diabetes in the treatment process by the grounded theory.
Materials and Methods: Eleven physicians and 9 diabetic patients in both sexes were selected from among all type 2 diabetic patients referred to physicians' offices in Shahid Beheshti University of Medical Sciences and Health Services. A semi-designed interview was used to gather information.
Results: The factor influencing the physician's lived experiences in dealing with the patient and the patient's lived experiences in dealing with the physician was named as the "physician-patient discourse" factor. This factor included 9 categories in 2 central codes "physician-centered" and "patient-centered" in the physician's lived experiences with the patient and 4 categories in 2 central codes "awareness" and "confidence-building" in the patient's lived experiences in dealing with the physician.
Conclusion: A discourse in which the physician allocates adequate time to efficiently convey training and information, and to take a complete history of the patient, and to establish an effective, friendly, and respectful relationship ultimately lead to the patient's trust. These factors can persuade the patient to adherence to the prescribed treatment.
- Grounded theory physician; Diabetes; Health education; Self-care
How to Cite
References
2. Tol A, Sharifirad Gh, Eslami A, Shojaeizade D, Alhani F, Mohajeritehrani M. [Analysis of Some Predicting Factors of Quality of Life among Patients with Type 2 Diabetes]. Journal of Health System Research 2011; 7(6): 829-36. [Persian]
3. Bakhti M, Salehi M, Ashrafi M, Noushin D, Siavoush M. [Identification, Prevention, Control and Treatment of Diabetes]. Isfahan: Kyarad; 2010. [Persian]
4. International Foundation for the Prevention and Control of Diabetes. Diabet and Statistic. [Serial Online] 2013 [Cited 2013 Dec 15]; [1Screen] Available from: http://www.idpcf.com/Default.aspx?PageId=3a ZmYag4. [Persian]
5. Zahednezhad H, Poursharifi H, Babapour J. Relationship between health locusof control, slip memory and physician-patient relationship with adherence in type II diabetic patients. J Shahid Sadoughi Univ Med Sci 2012; 20(2): 249-258. [Persian]
6. Moein A, Anbari A. Patient- physician relations. Daneshvar Pezeshki 2010; 17(85): 71-80.
7. Tabeyi Z, Parsayi H. Physician and Patients Relationship. Med Ethics J 2008; 2(4): 107-120. [Persian]
8. Vahidi RG, Kaffashi S, Narimani MR, Sadeghifar J, Raadaadi M, Nazari A, et al. Correlation between knowledge and satisfaction of patients from patient- physician relationship. Int J Health Promot Educ 2013; 2(3): 66-73.
9. Lingyan Z, Jun W. Research on psychological factors which influence Doctor-Patient communications among outpatients. J Med Coll PLA 2013; 28(1): 20-28
10. Ciechanowski R‚ Russo J‚ Katon W‚ Von Kroff M‚ Ludman E. Influence of patient attachment style on self care‚ out comes in diabetes. Psychosom Med 2004;66(5): 720-8.
11. Murphy DA, Marelich WD, Hoffman D, Steers WN. Predictors of antivetroviral adherence. AIDS Care 2004; 16(4): 471-84
12. Zahednezhad H, Poursharifi HA, Babapour J. Relationship betweeh Health Locus of Control, slip Memory and Physician-Patient relationship with Adherence in Type II Diabetic Patients. Journal of Shahid Sadoughi University of Medical Sciences.2012; Vol. 20, No. 2, May-Jun . [Persian]
13. Zare-Farashbandi F, Lalazaryan A, Rahimi A, Hassanzadeh A. The effect of patient-physician relationship on health information seeking behavior of diabetic patients. Medical Ethics Journal. 2017 Jan 23;10(38):37-50. [Persian]
14. Bastani P, Hashemi N, Bahrami MA. Correlation of Patients' Health Literacy and Physician-Patient Interaction: A Case Study in Shahid Faghihi Hospital, Shiraz, 2019. Quarterly Journal of Management Strategies in Health System. 2019 Jun 17.[Persian]
15. Chen X, Siu LL .Impact of the media and the internet on oncology: survey of cancer patients and oncologists in Canada. J Clin Oncol 1003 ; 19:4291-4297
16. Sarafino A. Health psychology. New Jesey: John Wiley & Sons; 2011
17. Zali MK. The novel principle of doctor andpatient relationship. Tehran: Research Ethics; 2009. [Persian]
18. Ciechanowski R‚ Russo J‚ Katon W‚ Von Kroff M‚ Ludman E. Influence of patient attachment style on self care‚ out comes in diabetes. Psychosom Med 2004;66(5): 720-8.
19. Murphy DA, Marelich WD, Hoffman D, Steers WN. Predictors of antivetroviral adherence. AIDS Care 2004, 16 (4): 471-84
20. Stavropoulou C. Non adhevence to medication and doctorpatient relationship. J Patient Eduaction Counseling 2010; 10 (9): 698-705.
21. Reisi M, Mostafavi F, Javadzade H, Mahaki B, Tavassoli E, Sharifirad G. Communicative and critical health literacy and self-care behaviors in patients with type 2 diabetes. Iranian journal of Diabetes and Metabolism. 2015 Mar 10;14(3):199-208. [Persian]
22. Lee Y, Lin JL. The effects of trust in physician on self-efficacy, adherence and diabetes outcomes. Soc Sci Med 2013; 68(6): 1060-8.
23. Bonds DE, Camacho F, Bell RA, Duren-Winfield VT, Anderson RT, Goff DC. The association of patient trust and self-care among patients with diabetes mellitus. BMC Fam Pract 2004; 5:26.
24. Mirzaei M, Taylor R, Morrell S, Leeder SR. Predictors of blood pressure in a cohort of school-aged children. Eur J Cardiovasc Prev Rehabil 2007; 14(5): 624-9.
- Abstract Viewed: 0 times
- e5 Downloaded: 0 times