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Lifestyle change in type 2 diabetes a process model.
Robin Whittemore1, Susan K Chase, Carol Lynn Mandle
1Yale University School of Nursing, New Haven, CT 06536-0740, USA. robin.whittemore@yale.edu
Nursing Research
|February 2, 2002
Summary
Integrating lifestyle changes for type 2 diabetes is complex, involving emotional reconciliation and finding balance. Acknowledging challenges is key for successful self-management and integration into daily life.
Area of Science:
- Nursing
- Self-Management
- Chronic Illness
Background:
- Integration is an emerging but poorly understood concept in chronic illness self-management.
- Understanding the process of integration is crucial for effective patient care.
Purpose of the Study:
- To explore the lived experience of integrating type 2 diabetes treatment recommendations into lifestyle.
- To understand the role of nurse-coaching in facilitating this integration process.
Main Methods:
- Qualitative interpretive method using nurse-coaching sessions, field notes, and interviews.
- Data analyzed using Miles & Huberman's data reduction and analysis process.
- Study involved 9 women with type 2 diabetes.
Main Results:
- Integration of lifestyle change for type 2 diabetes is multifaceted and complex.
- Key challenges include emotional reconciliation, structuring life, seeking satisfaction, self-exploration, conflict resolution, finding balance, and establishing a new life rhythm.
- Acknowledging these challenges is essential for progress.
Conclusions:
- Balance between structure and flexibility, emotions, and life domains is integral to integration.
- Findings enhance theories of integration and lifestyle change in chronic illness.
- Results suggest the need for developing and testing new nursing interventions.