Understanding the Turning Point of Patients with Diabetes
| Autor: | Hashim, Syahnaz Mohd, Idris, Idayu Badilla, Sharip, Shalisah, Bahari, Rafidah, Jahan, Nasrin |
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| Rok vydání: | 2021 |
| Předmět: |
media_common.quotation_subject
Applied psychology 030209 endocrinology & metabolism Intention Type 2 diabetes Narrative inquiry Nonprobability sampling 03 medical and health sciences 0302 clinical medicine medicine 030212 general & internal medicine media_common Self-efficacy Engagement business.industry Diabetes medicine.disease Self Care Feeling Self-Efficacy Original Article Family Practice business Theme (narrative) Qualitative research Cognitive appraisal |
| Zdroj: | Korean Journal of Family Medicine |
| ISSN: | 2092-6715 |
| DOI: | 10.4082/kjfm.19.0177 |
| Popis: | Background The patient's intention to engage in diabetes care is the hallmark of role acceptance as a health manager and implies one's readiness to change. The study aimed to understand the process of having the intention to engage in diabetes care. Methods A qualitative study using narrative inquiry was conducted at a public primary care clinic. Ten participants with type 2 diabetes of more than a 1-year duration were selected through purposive sampling. In-depth interviews were conducted using a semi-structured protocol guide and were audio-taped. The interviews were transcribed and the texts were analyzed using a thematic approach with the Atlas.ti ver. 8.0 software (Scientific Software Development GmbH, Berlin, Germany). Results Three themes emerged from the analysis. The first theme, "Initial reactions toward diabetes," described the early impression of diabetes encompassing negative emotions, feeling of acceptance, a lack of concern, and low level of perceived efficacy. "Process of discovery" was the second overarching theme marking the journey of participants in finding the exact truth about diabetes and learning the consequences of ignoring their responsibility in diabetes care. The third theme, "Making the right decision," highlighted that fear initiated a decision-making process and together with goal-setting paved the way for participants to reach a turning point, moving toward engagement in their care. Conclusion Our findings indicated that fear could be a motivator for change, but a correct cognitive appraisal of diabetes and perceived efficacy of the treatment as well as one's ability are essentially the pre-requisites for patients to reach the stage of having the intention to engage. |
| Databáze: | OpenAIRE |
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