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Adapting to and managing diabetes

B L Paterson1, S Thorne, M Dewis

  • 1School of Nursing, University of British Columbia, Vancouver, Canada. feenstra@ccco.net

Image--The Journal of Nursing Scholarship
|April 29, 1998
PubMed
Summary

People with diabetes learn to manage their illness by finding a healthy balance. This involves experimentation and developing self-care skills, supported by healthcare professionals who value individual patient expertise.

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Area of Science:

  • Medical Sociology
  • Qualitative Health Research
  • Diabetes Self-Management

Background:

  • The lived experience of chronic illness, specifically diabetes, is complex.
  • Understanding patient perspectives is crucial for effective diabetes care.

Purpose of the Study:

  • To synthesize qualitative research on the lived experience of diabetes.
  • To explore dominant beliefs and health system ideologies influencing diabetes management.

Main Methods:

  • A meta-ethnographic approach was used to analyze 43 qualitative studies (1980-1996).
  • Trustworthiness was ensured through multiple researchers, disconfirming cases, and rival hypothesis testing.
  • Curtin and Lubkin's (1990) conceptualization of chronic illness experience provided the framework.

Main Results:

  • 'Balance' emerged as the central metaphor for the diabetes experience.
  • Individuals actively learn and experiment with strategies to manage their diabetes.
  • Self-management is an ongoing process of adaptation and experimentation.

Conclusions:

  • Achieving a healthy balance is key to patient engagement in self-care.
  • Nurses should recognize and value the expertise patients gain from living with diabetes.
  • Supporting the developmental process of learning to balance enhances diabetes management.

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