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Experience of family function, family involvement, and self-management in adult patients with type 2 diabetes: A thematic analysis

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@article{2dfafafaeef74460b70315847617addf,
title = "Experience of family function, family involvement, and self-management in adult patients with type 2 diabetes: A thematic analysis",
abstract = "AIM: To describe the patient's experience of family function and its importance in diabetes-related self-management.BACKGROUND: Many patients fail to reach the targeted glycemic level due to low self-management adherence. Knowledge is needed regarding the impact of family function on diabetes self-management.DESIGN: A qualitative descriptive design.METHODS: A purposive sample of 20 patients with type 2 diabetes. Data were collected in March-June 2017 via audio-recorded semi-structured interviews, field notes and Eco-maps. Analysed using thematic framework matrix and thematic analysis.RESULTS: Four themes were identified: (1) Downplaying disease. The disease was trivialized creating a barrier to family involvement; (2) Second guessing. When diabetes was not discussed, patient and family made their own assumptions; (3) Going it alone. The participants preferred sole disease responsibility to maintain usual family life; (4) No regrets. The participants managed their disease with medications only to maintain family cohesion and 'the good life'.CONCLUSION: The participants in our study downplayed the consequences of type 2 diabetes and chose to control their disease medically rather than by lifestyle changes. They renounced family involvement to maintain their lifestyle and promote family cohesion.IMPACT: During clinical check-ups, patients should be encouraged to involve their family in lifestyle changes. Healthcare professionals need to recognize illness- and treatment beliefs and the impact of family function in disease management.",
keywords = "beliefs, diabetes type 2, family function, glycaemic control, HbA1c, lifestyle, nursing, patient, qualitative, self-management",
author = "Bennich, {Birgitte B} and Lene Munch and Dorthe Overgaard and Hanne Konradsen and Knop, {Filip K} and Michael R{\o}der and Tina Vilsb{\o}ll and Ingrid Egerod",
note = "{\circledC} 2019 John Wiley & Sons Ltd.",
year = "2020",
month = "2",
doi = "10.1111/jan.14256",
language = "English",
volume = "76",
pages = "621--631",
journal = "Journal of Advanced Nursing",
issn = "0309-2402",
publisher = "Wiley-Blackwell Publishing Ltd",
number = "2",

}

RIS

TY - JOUR

T1 - Experience of family function, family involvement, and self-management in adult patients with type 2 diabetes

T2 - A thematic analysis

AU - Bennich, Birgitte B

AU - Munch, Lene

AU - Overgaard, Dorthe

AU - Konradsen, Hanne

AU - Knop, Filip K

AU - Røder, Michael

AU - Vilsbøll, Tina

AU - Egerod, Ingrid

N1 - © 2019 John Wiley & Sons Ltd.

PY - 2020/2

Y1 - 2020/2

N2 - AIM: To describe the patient's experience of family function and its importance in diabetes-related self-management.BACKGROUND: Many patients fail to reach the targeted glycemic level due to low self-management adherence. Knowledge is needed regarding the impact of family function on diabetes self-management.DESIGN: A qualitative descriptive design.METHODS: A purposive sample of 20 patients with type 2 diabetes. Data were collected in March-June 2017 via audio-recorded semi-structured interviews, field notes and Eco-maps. Analysed using thematic framework matrix and thematic analysis.RESULTS: Four themes were identified: (1) Downplaying disease. The disease was trivialized creating a barrier to family involvement; (2) Second guessing. When diabetes was not discussed, patient and family made their own assumptions; (3) Going it alone. The participants preferred sole disease responsibility to maintain usual family life; (4) No regrets. The participants managed their disease with medications only to maintain family cohesion and 'the good life'.CONCLUSION: The participants in our study downplayed the consequences of type 2 diabetes and chose to control their disease medically rather than by lifestyle changes. They renounced family involvement to maintain their lifestyle and promote family cohesion.IMPACT: During clinical check-ups, patients should be encouraged to involve their family in lifestyle changes. Healthcare professionals need to recognize illness- and treatment beliefs and the impact of family function in disease management.

AB - AIM: To describe the patient's experience of family function and its importance in diabetes-related self-management.BACKGROUND: Many patients fail to reach the targeted glycemic level due to low self-management adherence. Knowledge is needed regarding the impact of family function on diabetes self-management.DESIGN: A qualitative descriptive design.METHODS: A purposive sample of 20 patients with type 2 diabetes. Data were collected in March-June 2017 via audio-recorded semi-structured interviews, field notes and Eco-maps. Analysed using thematic framework matrix and thematic analysis.RESULTS: Four themes were identified: (1) Downplaying disease. The disease was trivialized creating a barrier to family involvement; (2) Second guessing. When diabetes was not discussed, patient and family made their own assumptions; (3) Going it alone. The participants preferred sole disease responsibility to maintain usual family life; (4) No regrets. The participants managed their disease with medications only to maintain family cohesion and 'the good life'.CONCLUSION: The participants in our study downplayed the consequences of type 2 diabetes and chose to control their disease medically rather than by lifestyle changes. They renounced family involvement to maintain their lifestyle and promote family cohesion.IMPACT: During clinical check-ups, patients should be encouraged to involve their family in lifestyle changes. Healthcare professionals need to recognize illness- and treatment beliefs and the impact of family function in disease management.

KW - beliefs

KW - diabetes type 2

KW - family function

KW - glycaemic control

KW - HbA1c

KW - lifestyle

KW - nursing

KW - patient

KW - qualitative

KW - self-management

U2 - 10.1111/jan.14256

DO - 10.1111/jan.14256

M3 - Journal article

VL - 76

SP - 621

EP - 631

JO - Journal of Advanced Nursing

JF - Journal of Advanced Nursing

SN - 0309-2402

IS - 2

ER -

ID: 58277224