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 |