Factors influencing patient involvement in decision-making for initial administration of insulin in patients with Type II diabetes:a Meta integration of qualitative study
10.3969/j.issn.1671-8283.2024.08.010
- VernacularTitle:2型糖尿病患者初始使用胰岛素的决策参与影响因素质性研究的Meta整合
- Author:
Jingyuan ZHANG
1
;
Dan YANG
;
Yiyi YIN
;
Meiqi MENG
;
Sihan CHEN
;
Yufang HAO
Author Information
1. 北京中医药大学护理学院,北京,102400
- Keywords:
type II diabetes;
decision-making involvement;
initial administration of insulin;
healthcare professionals;
patients;
Meta-integration;
shared-decision making
- From:
Modern Clinical Nursing
2024;23(8):71-80
- CountryChina
- Language:Chinese
-
Abstract:
Objective To summarise and analyse the qualitative studies on the factors that influence patient involvement in decision-making for the initial administration of insulin for the patients with Type II diabetes,from the perspectives of patients and healthcare staff in order to provide a reference to promote patient involvement in decision-making.Methods Systematic searches were conducted across databases,such as CINAHL,Cochrane Library,EMBASE,PubMed,Web of Science,PsycINFO,China National Knowledge Infrastructure(CNKI),Wanfang Data,VIP,and SinoMed,for qualitative studies on the factors that affect patient involvement in initial insulin decision-making for the patients with Type II diabetes.The search was limited to articles from the inception of the databases to 30th September,2023.Quality of the included studies was assessed using the Joanna Briggs Institute(JBI)evidence-based healthcare centre for qualitative research quality assessment tool.The results were integrated using a synthesising integration method.Results A total of 19 articles were included,yielding 20 study results,which were categorised into 7 themes of patient decision-making related values,patient role preferences in decision-making,condition of patient,the role of healthcare staff in patient participation in decision-making,professional quality of healthcare staff,relationship between patient and healthcare staff,and the support from a medical institution.The data were ultimately integrated into 4 overarching themes of patient personal factors,healthcare staff factors,patient-staff interaction factors and medical institution factors.Conclusion The involvement of the patients with Type II diabetes in the decision-making for the initial administration of insulin is influenced by patients themselves,healthcare staff and medical institutions.It requires efforts of multiple parties:not only with the patients actively participate in decision-making,but also with the healthcare staff and institutions who provide effective decision supports.
