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Upplevelsen av egenvård vid diabetes mellitus typ 2 - en balansgång genom livet: En litteraturöversikt
Ersta Sköndal University College, Department of Health Care Sciences.
Ersta Sköndal University College, Department of Health Care Sciences.
2016 (Swedish)Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesisAlternative title
The experience of self-management in type 2 diabetes mellitus - a balancing act through life : A literature review (English)
Abstract [sv]

Bakgrund: Diabetes mellitus typ 2 är ett globalt problem som blir allt vanligare. Den nödvändiga egenvården kräver mycket av diabetes typ 2-patienten, och vårdpersonalen behöver adekvat kompetens för att kunna stötta dessa individer på bästa sätt.

Syfte: Att undersöka patienters upplevelse av egenvård vid diabetes mellitus typ 2.

Metod: En litteraturöversikt har gjorts baserat på elva originalartiklar tillgängliga på databaserna CINAHL Complete och PubMed. Artiklarna analyserades enligt Friberg, och teman och subteman skapades.

Resultat: Resultatet presenteras i fyra teman. Det första temat är Patienters upplevelse av kostförändringar och har tre subteman: Kunskap och motivation, Kostförändringars inverkan på livskvalitet samt Egenvårdskontroll. Två andra teman som presenteras är Upplevelsen av läkemedelsbehandling och Upplevelsen av egenvård genom motion. Det fjärde och sista temat är Sjukvårdens roll i egenvården och presenteras genom tre subteman: Upplevelsen av gruppbaserad utbildning, Behov av stöd i egenvården samt Upplevelsen av mötet med sjukvården.

Diskussion: Huvudfynden i resultatet analyserades för att se likheter och olikheter i de upplevelser som patienterna beskrivit. Dessa upplevelser diskuteras under två rubriker; Stödjande faktorer för egenvård och Försvårande faktorer för egenvård. Resultatet diskuterades utifrån Dorothea Orems egenvårdsteori samt konsensusbegreppet hälsa.

Abstract [en]

Background: Type 2 diabetes mellitus is a global problem that is increasing worldwide. The necessary self-management is demanding a lot of the type 2 diabetes-patient, and the health professionals needs adequate competence to be able to support these individuals in the best way. Aim: To examine patients' experience of self-management in type 2 diabetes mellitus.

Method: A literature review has been made based on eleven original articles available on the databases CINAHL Complete and PubMed. The articles were analysed according to Friberg, and themes and subthemes were created.

Results: The result is presented in four themes. The first theme is Patients´ experience of dietary changes and has three subthemes: Knowledge and motivation, Dietary changes and its impact on the quality of life and Self-management control. Two other themes are presented as The experience of drug treatment and The experience of self-management through physical activity. The fourth and last theme is The role of healthcare in self-management and is presented through three subthemes: The experience of group based education, The need of support in self-management and The experience of the meeting with the healthcare.

Discussion: The main findings in the result were analysed to discover similarities and differences within the experiences as described by patients. These experiences were then discussed under two subtitles; Supporting factors for self-management and Aggravating factors for self-management. The result was discussed from the theory of self-care by Dorothea Orem and the consensus concept of health.

Place, publisher, year, edition, pages
2016. , 38 p.
Keyword [en]
Type 2 diabetes mellitus, Experience, Factors in self-management
Keyword [sv]
Diabetes mellitus typ 2, Upplevelse, Egenvårdsfaktorer
National Category
Nursing
Identifiers
URN: urn:nbn:se:esh:diva-5602OAI: oai:DiVA.org:esh-5602DiVA: diva2:1051072
Educational program
Bachelor of Science in Nursing
Supervisors
Examiners
Available from: 2016-12-01 Created: 2016-11-30 Last updated: 2016-12-01Bibliographically approved

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