Factors Influencing Diabetes Self-Management Among Medically Underserved Patients With Type II Diabetes

Datos Bibliográficos

ID15736747
AutoresJimmy Reyes (0000-0002-4986-7620, Iowa Lutheran Hospital), Toni Tripp‐reimer (University of Iowa), Toni Tripp-Reimer (University of Iowa, Iowa City, Iowa, USA), Edith A Parker (University of Iowa), Edith Parker (University of Iowa, Iowa City, Iowa, USA), Brandi M Muller (0009-0002-1119-9249, University of Iowa), Brandi Muller (University of Iowa, Iowa City, Iowa, USA), Helena H Laroche (0000-0003-3708-5207, University of Iowa, autor de correspondencia), Helena Laroche (University of Iowa, Iowa City, Iowa, USA)
Año2017
Volumen4
Páginas2333393617713097-2333393617713097
Fecha de publicación2017-01-01
Peer ReviewedSí
Open AccessSí
TipoARTICLE
RevistaGlobal Qualitative Nursing Research (JOURNAL)
Identificadores de la revistaISSN: 2333-3936 • E-ISSN: 2333-3936
EditorialSAGE Publishing (PUBLISHER • US)
DOI10.1177/2333393617713097
PMID28660239
OpenAlexW2641143227
IdiomaEN
Citas recibidas8
Referencias citadas58

In this study, researchers compare and contrast issues regarding diabetes self-management between persons in good versus poor glycemic control. The sample comprises low-income racially diverse adults with diabetes from four mid-western community health centers; 44 patients participated in eight focus groups divided by control status (HbA1c of > 9 [uncontrolled] or < 7 [controlled]). Themes common to both groups included the impact of dietary restrictions on social interactions, food cravings, the impact of mental health on self-management, and the importance of formal and informal (friends and family) support. Those in the uncontrolled groups described fear about being able to control their diabetes, confusion about self-management, and difficulty managing their diabetes while caring for family members. Although those in the controlled groups acknowledged difficulties, they discussed resisting cravings, making improvements with small changes, positive feelings about their ability to control their diabetes, and enjoying new foods and exercise. Interventions should include mental health support, incorporate formal and informal patient support structures, and address literacy issues. Health care providers and intervention personnel should be very concrete about how to do self-management tasks and guide patients on how to alter their diabetes regimens for social and other important life events

Diabetes management · Diabetes mellitus · Feeling · Glycemic · Intervention (counseling · Mental health · Psychiatry · Psychological intervention · Self-management · Social support · Type 2 diabetes · Chronic Disease Management Strategies · Diabetes Management and Education · Diabetes Management and Research · Medicine · Nursing · Psychology · Social Psychology · Gerontology