Table 2 The codes, subcategories, and categories of the psychosocial barriers to diabetic patients’ Adherence to their Medication Regimen
Category | Subcategory | Code | |
|---|---|---|---|
1.Concern, distress and fear | Concern due to the lack of trust | Concern due to the lack of trust in health service providers | The patients’ lack of trust in the physician about the diagnosis of the disease symptoms and complications |
Concern due to the lack of trust in the medications | Concern about the effect of the medications | ||
Concern about the medication side-effects | |||
Psychological distress due to the calamities of life | Distress about the death of a family member (sister, brother) | ||
Distress about relatives’ illness and death | |||
Concern about being a burden | |||
Concern about being neglected by the family members | |||
Concern about financial problems | Neglecting medication adherence due to financial pressures | ||
Fearing the community’s bad reactions to the disease | Fearing the stigma caused by having diabetes | The disease being considered hereditary in the family by others | |
Fearing people restricting their relationships with diabetic patients | The disease being considered contagious by others | ||
Fearing the experience of hypoglycemia | |||
2.Feeling exhausted and burnt out | Getting tired of the prolonged period of treatment | ||
Feeling exhausted as a result of the calamities of life | |||
3.Prioritizing the children’s issues | Giving priority to the children’s needs | ||
Giving priority to the children’s disease | |||
4. Poor financial support | No financial support provided by the family for the purchase of the medications | ||
5. Communication challenges | Advertisements encouraging non-adherence to a medication regimen | Advertisements and encouragements about the use of herbal medicines by other patients and relatives | |
Advertisements and encouragements about the benefits of vegetarian and raw food diets by other patients | |||
Poor communication processes | Inadequate physician consultation about the medications | ||
Poor physician-patient interactions | |||
6.Poor work conditions | Forgetting to take the medications as a result of being too busy | ||
Not taking the medications on time due to long work hours | |||