title: Home alone: the experience of women with type 2 diabetes who are new to intensive control.
abstract: Using an inductive interpretive approach we examined the early experiences of women learning intensive self-management of type 2 diabetes. The women expressed feelings of being very much "home alone" during their initial self-management experience, in spite of having requisite knowledge and skills from completing a state-of-the-art multidisciplinary diabetes educational program. Invariably, engagement in the self-management process resulted in strong emotional responses, self-blame, and negative characterizations of self. Conditions associated with ways of being engaged in intensive self-management are described and provide practitioners with needed personal and contextual information to inform clinical care.
authors.affiliation: College of Nursing, East Tennessee State University, Johnson City, Tennessee 37614, USA. raymank@etsu.edu
authors.forename: Kathleen
authors.initials: K
authors.lastname: Rayman
authors.forename: Geraldine
authors.initials: G
authors.lastname: Ellison
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D000368:Aged; D000739:Anecdotes as Topic; D001294:Attitude to Health; D003924:Diabetes Mellitus, Type 2 / Q000451:nursing* / Q000523:psychology*; D005260:Female; D006801:Humans; D008132:Loneliness; D008875:Middle Aged; D010353:Patient Education as Topic / Q000379:methods; D011788:Quality of Life; D012648:Self Care / Q000379:methods*; D011795:Surveys and Questionnaires; D016387:Women's Health