Background: In order to provide good diabetes care it is important for the health care professionals to share patients’ personal understanding of living with diabetes, which differs from a professional understanding of the illness. Patients’ beliefs about health, illness, control and cure are predictive of the outcome of lifestyle changes and pharmacological treatment. Narratives about illness could be used to elucidate what people believe to be central to their experience of an illness and its management. The overall aim of this thesis was to investigate experiences of diabetes and diabetes care among people with type 2 diabetes and district nurses responsible for diabetes care within primary health care.
Methods: Forty-four patients diagnosed with diabetes during the previous 2 years were interviewed about their personal understanding of illness and experiences of care…
Contents
BACKGROUND
Theoretical framework for the thesis
The meaning of illness and disease
Diabetes
Diabetes type 2 and its treatment
Living with chronic illness
Personal understanding of illness
Living with diabetes
Organization and goals of diabetes care in Sweden
The role of the diabetes nurse in primary care
A model for diabetes care
The patient-professional relationship and communication
Contrasting patients’ and professionals’ perspectives on diabetes, and diabetes care
Outcome of interventions
RATIONALE FOR AND AIMS OF THE THESIS
METHODS
Settings and participants
Settings
Participants and sampling
Intervention
Intervention aimed at nurses
Intervention aimed at patients
Patient group sessions
Data collection and analyses
Interviews (Papers I–IV)
Questionnaires (Paper V)
Laboratory/Physical Measurements (Paper V)
Data analysis
Content analysis (Papers I–IV)
Statistical analyses (Paper V)
Methodological considerations
FINDINGS
DISCUSSION
Summary and clinical implications
Conclusion
SUMMARY IN SWEDISH – SVENSK SAMMANFATTNING
ACKNOWLEDGEMENTS
REFERENCES
PAPERS I – V
Author: Hornsten, Asa
Source: Umea University
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