Preferring to manage by myself: A qualitative study of the perspectives of hardly reached people with type 2 diabetes on social support for diabetes management.

Autor: Bech LK; Abdominal Centre, University Hospital of Copenhagen Rigshospitalet, Copenhagen, Denmark.; Department of Anaesthesia and Intensive Care, Bispebjerg and Frederiksberg Hospital, University of Copenhagen, Copenhagen, Denmark., Borch Jacobsen C; Abdominal Centre, University Hospital of Copenhagen Rigshospitalet, Copenhagen, Denmark.; Department of Haematology, Finsen Centre, University Hospital of Copenhagen Rigshospitalet, Copenhagen, Denmark., Mathiesen AS; Abdominal Centre, University Hospital of Copenhagen Rigshospitalet, Copenhagen, Denmark.; Department of Endocrinology, Abdominal Centre, University Hospital of Copenhagen Rigshospitalet, Copenhagen, Denmark., Thomsen T; Abdominal Centre, University Hospital of Copenhagen Rigshospitalet, Copenhagen, Denmark.; Department of Clinical Science, Faculty of Health Science, University Hospital of Copenhagen, Copenhagen, Denmark.
Jazyk: angličtina
Zdroj: Journal of clinical nursing [J Clin Nurs] 2019 May; Vol. 28 (9-10), pp. 1889-1898. Date of Electronic Publication: 2019 Feb 15.
DOI: 10.1111/jocn.14783
Abstrakt: Aims and Objectives: To explore the perspectives of hardly reached people with type 2 diabetes on social support for diabetes management from their formal and informal networks.
Background: People with low socioeconomic status and poorly controlled type 2 diabetes may be categorised as hardly reached. Social support is increasingly perceived to be a cornerstone in the management of type 2 diabetes. Few studies have, however, explored social support for diabetes management from the perspective of hardly reached people.
Methods: A qualitative design with individual semi-structured interviews captured the unique perspectives of hardly reached people. Data from 14 participants were analysed using conventional content analysis. The article adheres to the COREQ guidelines for reporting qualitative research.
Results: Participants preferred not to involve family and friends (the informal network) in diabetes management due to dysfunctional or lacking networks, existing norms and not wanting to burden vulnerable relationships. Others simply did not perceive themselves as sick and therefore saw no need for support. Opposed to this, participants wished for continuity and a personalised relationship with health professionals (the formal network). This entailed consultations that facilitated discussion of issues of importance to the participants.
Conclusions: Hardly reached people with type 2 diabetes preferred to spare their informal networks from diabetes management. Instead, they wished for more presence and individualised support from health professionals.
Relevance to Clinical Practice: It appears timely to rethink the current "one-size-fits-all" approach for people with type 2 diabetes in order to allocate resources to those most in need. It is important that health professionals elicit perceptions of support needs and potential sources of support in hardly reached people with type 2 diabetes both from the formal and from informal networks in regard to managing their diabetes. To better reach hardly reached people with type 2 diabetes, specialised education of health professionals may be necessary to capture the complex underlying dynamics influencing disease management.
(© 2019 John Wiley & Sons Ltd.)
Databáze: MEDLINE
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