Fatalism, faith and fear: A case study of self-care practice among adults with Type 2 diabetes in urban Malaysia.
J Clin Nurs
; 27(19-20): 3758-3767, 2018 Oct.
Article
en En
| MEDLINE
| ID: mdl-29893043
ABSTRACT
AIMS AND OBJECTIVES:
To explore self-care and self-care support in patients with Type 2 diabetes in urban Malaysia.BACKGROUND:
The prevalence of Type 2 diabetes in Malaysia and associated long-term and life-changing complications is increasing. With effective self-care and self-care support, severe complications of the condition can be avoided or reduced. Prior to this study, no evidence existed about Malaysian patients' management of the condition or support for self-care from the healthcare system.DESIGN:
A single embedded qualitative case study.METHODS:
Semistructured interviews with 18 patients with Type 2 diabetes aged 28-69 years, healthcare professionals (n = 19), observations (n = 13) of clinic appointments from two urban settings in Malaysia and a documentary analysis. Recordings were transcribed verbatim, field notes were made during observations and the data analysed and synthesised within and across case using Framework analysis.FINDINGS:
Three main themes explained self-care and self-care support in Malaysia fatalism, faith and fear. Patients were fatalistic about developing diabetes-they perceived it as inevitable because it is so common in Malaysia. However, faith in God, coupled with fear of the consequences of diabetes, motivated them to engage in self-care practices. The fear was largely induced by diabetes healthcare professionals working in overcrowded clinics, and stretched thinly across the service, who used a direct and uncompromising approach to instil the importance of self-care to avoid severe long-term complications.CONCLUSION:
This study provided important insight on how people in Malaysia developed diabetes, their responses to the disease and the approach of healthcare professionals in supporting them to engage with self-care. RELEVANCE TO CLINICAL PRACTICE Any future development of self-care programmes in Malaysia needs to recognise the factors that motivate patients to self-care and include components that build self-efficacy.Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Autocuidado
/
Conocimientos, Actitudes y Práctica en Salud
/
Autoeficacia
/
Diabetes Mellitus Tipo 2
/
Miedo
Tipo de estudio:
Qualitative_research
/
Risk_factors_studies
Límite:
Adult
/
Aged
/
Female
/
Humans
/
Male
/
Middle aged
País/Región como asunto:
Asia
Idioma:
En
Revista:
J Clin Nurs
Asunto de la revista:
ENFERMAGEM
Año:
2018
Tipo del documento:
Article
País de afiliación:
Malasia