Diabetes barriers and self-care management: the patient perspective.
For those individuals diagnosed with diabetes, the challenge is how to cope and manage the many aspects of their lives. The aim of this qualitative synthesis was to evaluate research studies for findings and then synthesize patients' experiences within the context of diabetes self-care while facing daily barriers. A total of 95 findings from 21 studies were categorized via like themes. These themes were further analyzed and aggregated to represent an interpretive meta-synthesis via a rigorous methodological protocol as described by Pearson, Robertson-Malt, and Rittinmeyer and the Joanna Briggs Institute. Meta-synthesized findings suggest that patients "avoid and hinder self-management" as well as "desire self-care and living life." Clinicians can improve interactions and potentiate understanding when the therapeutic approach is about the person living with diabetes as opposed to clinical control.
Indiana University, Indianapolis, USA.
Deborah
D
Stiffler
Indiana University, Indianapolis, USA dcullen@iu.edu.
Deborah
D
Cullen
Northern Arizona University, Phoenix, USA.
Gaye
G
Luna
D000223:Adaptation, Psychological; D003920:Diabetes Mellitus / Q000523:psychology*; D006801:Humans; D012648:Self Care
clinical research areas; diabetes; diabetes care; disease; nursing interventions; patient education