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Challenges in everyday life among recently diagnosed and more experienced adults with type 2 diabetes: A multistage focus group study
Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV). Kristianstad University.ORCID-id: 0000-0002-2848-8277
Kristianstad University.
Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV).ORCID-id: 0000-0002-5719-7102
Primary Healthcare, Hässleholm, Region Skåne.
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2018 (Engelska)Ingår i: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 27, nr 19-20, s. 3666-3678Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Aims and objectivesTo identify perceived challenges related to self-management among recently diagnosed adults and those with longer experience of type 2 diabetes as a foundation for the future development of a person-centred information and communication technology service. BackgroundLearning self-management of type 2 diabetes includes mastering the skills required to complete complex emotional and physical tasks. A service developed with the participation of stakeholders may be an alternative way to meet rising needs for self-management. DesignQualitative descriptive design influenced by a participatory approach. MethodsMultistage focus group interviews among one group of recently diagnosed (3years, n=4) adults and one group with longer experience (5years, n=7) of type 2 diabetes. ResultsChallenges in self-management in everyday life with type 2 diabetes were identified: understanding; developing skills and abilities; and mobilising personal strengths. Both groups described challenges in understanding the causes of fluctuating blood glucose and in developing and mobilising skills for choosing healthful food and eating regularly. The recently diagnosed group was more challenged by learning to accept the diagnosis and becoming motivated to change habits while the experienced group was mainly challenged by issues about complications and medications. ConclusionAdults with diabetes have different needs for support during different phases of the disease. From a person-centred perspective, it would be desirable to meet individual needs for self-management on peoples' own terms through a technological service that could reach and connect to a large number of people. Relevance to clinical practiceDiabetes nurses need to address the knowledge needs of patients with diabetes and support them in developing self-management skills. Consistent with person-centred care, practitioners should also encourage patients' abilities to mobilise their own personal strengths to maintain self-management.

Ort, förlag, år, upplaga, sidor
Wiley-Blackwell, 2018. Vol. 27, nr 19-20, s. 3666-3678
Nyckelord [en]
chronic illness, focus groups, patient teaching, patient-centred care, self-management, type 2 diabetes
Nationell ämneskategori
Omvårdnad
Forskningsämne
Hälsovetenskap
Identifikatorer
URN: urn:nbn:se:lnu:diva-78096DOI: 10.1111/jocn.14330ISI: 000444077000024PubMedID: 29495094Scopus ID: 2-s2.0-85053064513OAI: oai:DiVA.org:lnu-78096DiVA, id: diva2:1252443
Tillgänglig från: 2018-10-01 Skapad: 2018-10-01 Senast uppdaterad: 2019-08-29Bibliografiskt granskad

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Gardsten, CeciliaRask, Mikael
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Institutionen för hälso- och vårdvetenskap (HV)
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Journal of Clinical Nursing
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