Perceived barriers to diabetes management at home: A qualitative study
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Date
2019
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Abstract
Background: Diabetes is a complex and progressive disease and its treatment requires self-management strategies specific for each patient. The aim of the study was to determine perceived barriers to diabetes management at home in type II diabetes patients. Materials and methods: Inclusion criteria of this phenomenological study included living in Izmir and a diagnosis for the last 1 year; 15 patients with diabetes participated the study. A semi-structured interview form based on Health Belief Model created by researchers with experts opinion, was used at in-depth face-to-face interviews. Data were analyzed with content analysis. Ethical and hospital approval was obtained. Participation of individuals is based on volunteerism; written informed consent from patients who accepted the study. Results: Perceived barriers to fulfilling home care needs and sustaining behavior of diabetes management included six themes, i.e. insufficient knowledge of diabetes, inability to accept diabetes, non-adherence to diabetes and exercise, problems with health care services, fear and effects of the family and the society and relevant subthemes. Conclusion: These findings about the barriers of the patients should provide guidance for patient specific nursing interventions. © 2019 De Gruyter. All rights reserved.
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antidiabetic agent , adult , alcohol consumption , Article , attitude to health , clinical article , diabetes mellitus , dyslipidemia , exercise , female , foot care , glucose blood level , health care need , health service , heart disease , human , informed consent , male , middle aged , non insulin dependent diabetes mellitus , nursing intervention , qualitative research , semi structured interview , sexual dysfunction , smoking , traditional medicine , treatment refusal , work-life balance