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Främjande av egenvård för patienter med typ 2-diabetes inom primärvården - diabetessjuksköterskans upplevelser
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
2011 (Swedish)Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
Abstract [en]


Background: The incidence of type 2 diabetes is increasing worldwide. Early intervention in form of medication, advice on self-management and lifestyle changes is necessary to avoid complications. Few Swedish studies are made on the diabetes nurse’s views on promotion of self- management.

Purpose: To examine the diabetes specialist nurse’s experience of promoting self-management to patients with type 2 diabetes in primary care.  

Method: A qualitative explorative study where eight diabetes nurses were interviewed. The interview guide consisted of semistructed questions concerning the promotion of self-management.

Results: The diabetes nurse’s role in promoting patient self-management is significant, if resources are available in the form of adequate time for the patient and good team work. Best results are achieved when the diabetes nurse serves as a good coach by; building mutual trust, giving support and commitment, maintaining the exchange of knowledge through regular two-way communication and by being available. Organisational hold backs constitute a bottleneck for promotion of self-care. They are characterized by; limited resources which compel unsatisfactory priorities, political control by “Vårdvalet” and lack of diabetes teams.  Limitations of the patient may work against self-management by patient denial of the disease or physical limitations that complicate physical activity.

Conclusion: Sufficient resources are required so that the diabetes nurse can conduct good diabetes care in accordance with the National Board guidelines.

Key words:  type 2 diabetes, primary care, diabetes specialist nurse, self-management, patient education

Place, publisher, year, edition, pages
Keyword [sv]
diabetes typ II, primärvård, diabetessjuksköterska, egenvård, patientutbildning
National Category
URN: urn:nbn:se:uu:diva-162523OAI: diva2:460646
Subject / course
Caring Sciences
Educational program
Specialistsjuksköterskeprogrammet med inriktning mot distriktssköterska
Available from: 2011-12-01 Created: 2011-11-30 Last updated: 2011-12-01Bibliographically approved

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