The aim of this thesis was to examine different approaches to support the self-care of persons with Type 2 diabetes, with special reference to practical, social, and sexual aspects of women’s self-management. The methods to elucidate this comprised: evaluating a new model for diabetes patient education; designing a model to analyse the role of social networks in women’s diabetes; conducting individual and focus group interviews for deeper understanding of the social and sexual aspects of diabetes; and collecting questionnaire data as a complement to the above.The experience-based educational program led by pharmacists was found to improve participants’ subjective control over diabetes and to provide important emotional support and encouragement to continue self-care…
Contents
PART ONE: DIABETES IN BORDERLAND
Chapter 1: THE BORDERLAND BETWEEN CARE AND SELF-CARE
1.1 INTRODUCTION
1.2 AIMS
1.3 CENTRAL CONCEPTS
Patient Empowerment
Self-care
Borderland
1.4 THE RESEARCH PROCESS
1.5 REFLECTIONS ON THE RESEARCH
ìThe context of discoveryî
Using Qualitative Methods. Time to Abandon the Position of Defense?
Chapter 2: DIABETES ñ FROM DEADLY DISEASE TO SELF-MANAGED CHRONIC HEALTH PROBLEM
2.1 THEORETICAL PERSPECTIVES
Diabetes Mellitus
Educational Strategies for Coping with a Public Health Problem The Study Circle Educational Program
2.2 RESULTS
Evaluation of Study Circles at the Pharmacy (I)
2.3 METHODOLOGICAL CONSIDERATIONS
Using Interviews in Program Evaluation
Chapter 3: WHO SHOULD CONTROL DIABETES?
3.1 THEORETICAL PERSPECTIVES
Public Health as Social Control
Pedagogical Principles and Metabolic Outcomes in Diabetes Patient
Education
3.2 RESULTS
Predictors of Success on Individual and Group Levels (II)
Implications
3.3 METHODOLOGICAL CONSIDERATIONS
Measuring HbA1c
Validity
Participant Collaboration
Statistical Design and Analysis
PART TWO: DIABETES, WOMANHOOD, AND INTIMACY
Chapter 4: WOMEN, DIABETES, AND WHO ELSE?
4.1 THEORETICAL PERSPECTIVES
Implications of Network Theory
Social Support and Social Network ñ Clarifying (or obfuscating?) the Terms
4.2 RESULTS
Social Network and Role Demands in Womenís Type 2 Diabetes (III)
4.3 METHODOLOGICAL CONSIDERATIONS
Implications of Role Theory
The ìDisease Manager Roleî
Chapter 5: FEMALE SEXUAL DYSFUNCTION IN TYPE 2 DIABETES- A PERSONAL MATTER?
5.1 THEORETICAL PERSPECTIVES
Feminist Views on Sexuality and Medicine
Female Sexual Dysfunction
Diabetes and Female Sexual Functioning
5.2 RESULTS
Resulting Categories of the Qualitative Analysis
5.3 METHODOLOGICAL CONSIDERATIONS
Using the Focus Group Method
Ethical Considerations
Scientific Criteria for Qualitative Research
Chapter 6: CONTRADICTIONS OF THE MEDICAL ENCOUNTER
6.1 THEORETICAL PERSPECTIVES
Womenís Provider Preferences for Sexual Care
The Contradiction
6.2 RESULTS
Contradictions in the Medical Encounter : Female Sexual Dysfunction (V)
6.3 METHODOLOGICAL CONSIDERATIONS
Knowing about Womenís Health
PART THREE: BORDERLAND REVISITED
Chapter 7: GENERAL DISCUSSION
7.1 THEORETICAL PERSPECTIVES
The Use of Metaphors in Science
7.2 CONCLUSIONS
7.3 BORDERLAND REVISITED
References
PAPERS I-V
Author: Sarkadi, Anna
Source: Uppsala University Library
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