{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,16]],"date-time":"2026-05-16T14:07:46Z","timestamp":1778940466715,"version":"3.51.4"},"reference-count":49,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100008091","name":"Golestan University of Medical Sciences","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100008091","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Sage Open Nursing"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Patients with uncontrolled type 2 diabetes mellitus (T2DM) experience a multitude of physical and psychological complications, which impose significant burdens on healthcare systems and society at large. Identifying self-care barriers in this patient population is essential for implementing targeted interventions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This study aimed to explore the barriers to self-care among patients with uncontrolled T2DM in Iran.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This qualitative research employed a conventional content analysis approach. Thirteen semi-structured interviews were conducted with patients diagnosed with uncontrolled diabetes. Data management and analysis were performed using MAXQDA 2020 software. To extract core themes, Graneheim and Lundman\u2019s conventional content analysis method was utilized. The trustworthiness of the data were ensured through Guba and Lincoln\u2019s criteria.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The participants\u2019 mean age was 54.61 \u00b1 8.67 years. Four main themes emerged: (1) internal barriers to effective self-care, including limited knowledge, emotional distress, and difficulty adapting to the illness; (2) ineffective social support, reflecting low family involvement and misinformation; (3) weak institutional support systems, such as limited access to specialists and inconsistent medication availability; and (4) the intrinsic nature of diabetes, characterized by progressive complications and emotional exhaustion.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The findings indicate that barriers to self-care in patients with uncontrolled T2DM are multifaceted and arise from internal challenges, insufficient social support, weak institutional support systems, and the progressive and exhausting nature of the disease. Addressing these barriers requires interventions that improve patients\u2019 understanding and emotional adaptation, strengthen family support, and enhance access to consistent healthcare services.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/23779608261451612","type":"journal-article","created":{"date-parts":[[2026,5,14]],"date-time":"2026-05-14T15:15:42Z","timestamp":1778771742000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Exploring Barriers to Self-Care in Patients With Uncontrolled Type 2 Diabetes Mellitus: A Qualitative Study"],"prefix":"10.1177","volume":"12","author":[{"given":"Mahbobeh","family":"Firooz","sequence":"first","affiliation":[{"name":"Golestan University of Medical Sciences"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Khadijeh","family":"Yazdi","sequence":"additional","affiliation":[{"name":"Golestan University of Medical Sciences"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gholam Reza","family":"Mahmoodi-Shan","sequence":"additional","affiliation":[{"name":"Golestan University of Medical Sciences"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maryam","family":"Zahedi","sequence":"additional","affiliation":[{"name":"Golestan University of Medical Sciences"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2026,5,14]]},"reference":[{"issue":"14","key":"e_1_3_7_2_1","article-title":"Identifying Barriers to Self-care in Patients with Type 2 Diabetes: A Qualitative Phenomenological Study","volume":"14","author":"Abdi S.","year":"2025","unstructured":"Abdi S., Saed L., Kashani F. L. (2025). Identifying Barriers to Self-care in Patients with Type 2 Diabetes: A Qualitative Phenomenological Study. Journal of Clinical Research in Paramedical Sciences, 14(14). https:\/\/doi.org\/10.5812\/jcrps-162749","journal-title":"Journal of Clinical Research in Paramedical Sciences"},{"issue":"7","key":"e_1_3_7_3_1","first-page":"e41409","article-title":"Self-Care Practices and Their Role in the Control of Diabetes: A Narrative Review","volume":"15","author":"Ahmad F.","year":"2023","unstructured":"Ahmad F., Joshi S. H. (2023). Self-Care Practices and Their Role in the Control of Diabetes: A Narrative Review. 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