Experience of family function, family involvement, and self-management in adult patients with type 2 diabetes: A thematic analysis.
J Adv Nurs
; 76(2): 621-631, 2020 Feb.
Article
em En
| MEDLINE
| ID: mdl-31670404
ABSTRACT
AIM:
To describe the patient's experience of family function and its importance in diabetes-related self-management.BACKGROUND:
Many patients fail to reach the targeted glycemic level due to low self-management adherence. Knowledge is needed regarding the impact of family function on diabetes self-management.DESIGN:
A qualitative descriptive design.METHODS:
A purposive sample of 20 patients with type 2 diabetes. Data were collected in March-June 2017 via audio-recorded semi-structured interviews, field notes and Eco-maps. Analysed using thematic framework matrix and thematic analysis.RESULTS:
Four themes were identified (1) Downplaying disease. The disease was trivialized creating a barrier to family involvement; (2) Second guessing. When diabetes was not discussed, patient and family made their own assumptions; (3) Going it alone. The participants preferred sole disease responsibility to maintain usual family life; (4) No regrets. The participants managed their disease with medications only to maintain family cohesion and 'the good life'.CONCLUSION:
The participants in our study downplayed the consequences of type 2 diabetes and chose to control their disease medically rather than by lifestyle changes. They renounced family involvement to maintain their lifestyle and promote family cohesion. IMPACT During clinical check-ups, patients should be encouraged to involve their family in lifestyle changes. Healthcare professionals need to recognize illness- and treatment beliefs and the impact of family function in disease management.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Pacientes
/
Autocuidado
/
Família
/
Cuidadores
/
Diabetes Mellitus Tipo 2
/
Autogestão
/
Relações Interpessoais
Tipo de estudo:
Qualitative_research
Limite:
Aged
/
Aged80
/
Female
/
Humans
/
Male
/
Middle aged
Idioma:
En
Ano de publicação:
2020
Tipo de documento:
Article