Journal article
Factors Influencing Diabetes Self-Management Among Medically Underserved Patients With Type II Diabetes
Global qualitative nursing research, Vol.4, pp.2333393617713097-2333393617713097
06/09/2017
DOI: 10.1177/2333393617713097
PMCID: PMC5476324
PMID: 28660239
Abstract
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.
Details
- Title: Subtitle
- Factors Influencing Diabetes Self-Management Among Medically Underserved Patients With Type II Diabetes
- Creators
- Jimmy Reyes - Iowa Board of Nursing, Des Moines, Iowa, USAToni Tripp-Reimer - University of Iowa, Iowa City, Iowa, USAEdith Parker - University of Iowa, Iowa City, Iowa, USABrandi Muller - University of Iowa, Iowa City, Iowa, USAHelena Laroche - University of Iowa, Iowa City, Iowa, USA
- Resource Type
- Journal article
- Publication Details
- Global qualitative nursing research, Vol.4, pp.2333393617713097-2333393617713097
- DOI
- 10.1177/2333393617713097
- PMID
- 28660239
- PMCID
- PMC5476324
- NLM abbreviation
- Glob Qual Nurs Res
- ISSN
- 2333-3936
- eISSN
- 2333-3936
- Publisher
- SAGE Publications; Sage CA: Los Angeles, CA
- Grant note
- UL1TR000442 / ;
- Language
- English
- Date published
- 06/09/2017
- Academic Unit
- Public Health Administration; Nursing; Injury Prevention Research Center; Public Policy Center (Archive); Community and Behavioral Health; Internal Medicine
- Record Identifier
- 9984063118302771
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