The emotional context of self-management in chronic illness: A qualitative study of the role of health professional support in the self-management of type 2 diabetes

Furler, John; Walker, Christine; Blackberry, Irene; Dunning, Trisha; Sulaiman, Nabil; Dunbar, James; Best, James D.; Young, Doris

doi:10.1186/1472-6963-8-214

Cited by 81 publications

(88 citation statements)

References 30 publications

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“…He/she needed to feel involved and receive support from the care provider during the course of the disease. The emotions associated with a chronic disease constituted a continuous process and the diabetic person needed the support of care staff during their emotional adaptation to the disease [22,23]. The image that the diabetic person had of the disease was influenced more by previous experiences than the information provided by the care staff [23].…”

Section: Care Encounters From the Individuals Perspectivementioning

confidence: 99%

Experiences of the encounter with the diabetes team—A comparison between obese and normal-weight type 2 diabetic patients

Svenningsson

Gedda²,

Marklund

2011

Patient Education and Counseling

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Section: Care Encounters From the Individuals Perspectivementioning

confidence: 99%

Experiences of the encounter with the diabetes team—A comparison between obese and normal-weight type 2 diabetic patients

Svenningsson

Gedda²,

Marklund

2011

Patient Education and Counseling

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“…Patients with diabetes from an ethnic minority have added burdens in behaviour change, performing their daily activities of self-management within the context of social, family and cultural duties (Furler et al, 2008;Manderson & Kokanovic, 2009), language and cultural difficulties in communication with health care professionals (Jowsey, Gillespie, & Aspin, 2011) and racial discrimination (Komaric, Bedford, & van Driel, 2012).…”

Section: Introductionmentioning

confidence: 99%

Experiences of self-management support from GPs among Australian ethnically diverse diabetes patients: A qualitative study

Rose

Harris

2014

Psychology, Health & Medicine

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Ethnically diverse diabetes patients face significant challenges in diabetes self-management ranging from cultural expectations to inequalities in health care provision. This study explored the experiences of ethnically diverse patients with diabetes attending group diabetes education in receiving self-management support from GPs. An approach based on phenomenology was used to analyse participants' experiences in self-management support across three group interviews comprising 28 Australian ethnically diverse diabetes patients: Arabic-speaking group (n = 11), English-speaking group (n = 9) and Vietnamese-speaking group (n = 8). Two themes emerged related to the poor quality of information to support self-management and challenges in negotiating traditional consultation styles. In particular, participants believed they knew more about diabetes self-management than their GPs but felt unable to influence consultation style and communicate their changing needs in self-management support. The health care and information needs of ethnically diverse patients continue to be marginalised within health systems. This small exploratory study highlights the need for further research to illuminate interactions between ethnically diverse diabetes patients and GPs in supporting long-term diabetes self-management.

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“…As it is a chronic disease, patients experience a strong shock when they receive the diagnosis, and become unsure about how to live with diabetes. As in the present study, the referred study also identified that the main changes that occurred because of the disease concerned eating and exercise habits, and that walking was the most common exercise modality adopted (17) .…”

Section: Discussionmentioning

confidence: 75%

Aposentados com diabetes tipo 2 na Saúde da Família em Ribeirão Preto, São Paulo - Brasil

Silva

Palha

Barbosa

et al. 2010

Rev. esc. enferm. USP

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The objective of the present study was to characterize aged pensioners with type 2 diabetes, users of a primary health care service. Participants were 43 individuals selected according to the inclusion criteria. Data was obtained from primary and secondary sources, and analyzed using the SPSS (Statistical Package for the Social Sciences) software. The average age was 75.3 years. There was little participation in community groups and in physical activities. Seventeen aged individuals used the primary healthcare service. Twelve men were retired and twelve women received pension. The average arterial blood pressure was 130x80 mmHg and the average glucose level was 141 mg/dl. Diet orientations were given mostly by physicians. Further studies are necessary to analyze the cause of the little adherence to the groups and to physical activity. Health teams should have an effective participation in diabetes control and should encourage the family to participate in the care process, as this diseases requires long term management. KEY WORDS RESUMENEl estudio tuvo como objetivo caracterizar ancianos jubilados afectados por diabetes tipo 2, usuarios de un servicio de atención primaria. Contó con 43 sujetos que cumplieron con los criterios de inclusión. Los datos fueron obtenidos en fuentes primarias y secundarias, y analizados en el Programa Estadístico SPSS 15.0. La media de edad fue de 75,3 años. Se verificó escasa participación de los sujetos en grupos comunitarios y en la práctica de actividad física. Diecisiete ancianos utilizan la atención primaria. Doce hombres se jubilaron por tiempo de servicio y 12 mujeres reciben pensión. Los niveles de presión arterial se ubicaron en un promedio de 130 x 80 mmHg y la glucemia media fue de 141 mg/ dl. Orientaciones sobre dieta fueron realizadas en su mayoría por los médicos. Se necesita de nuevos estudios para evaluar los motivos que originan la baja adhesión a grupos y a la práctica de actividad física. Se sugiere participación del equipo de salud en el control de la diabetes y en la motivación para la participación de la familia en el cuidado del anciano, entendiéndose que esta enfermedad demanda tratamiento de largo plazo.

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The emotional context of self-management in chronic illness: A qualitative study of the role of health professional support in the self-management of type 2 diabetes

Cited by 81 publications

References 30 publications

Experiences of the encounter with the diabetes team—A comparison between obese and normal-weight type 2 diabetic patients

Experiences of the encounter with the diabetes team—A comparison between obese and normal-weight type 2 diabetic patients

Experiences of self-management support from GPs among Australian ethnically diverse diabetes patients: A qualitative study

Aposentados com diabetes tipo 2 na Saúde da Família em Ribeirão Preto, São Paulo - Brasil

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