The Experience of Self-Management in Patients With Uncontrolled Type 2 Diabetes, Sadao Hospital, Sadao, Songkhla
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Abstract
This qualitative research aimed to study the self-management experience of uncontrolled type 2 diabetes mellitus patients. The participants were 10 patients with blood glucose level more than 180 mg%, more than or equal to 2 times in 6 months, data was collected in February-April 2016 at the Diabetes Clinic, Sadao Hospital, Songkhla Province. The tools used were semi-structured interviews. In-depth interviews were recorded with tapes. The data was analyzed by the content analysis. Reliability of the research was performed based
on Lincoln and Guba.
The results revealed the self-management experiences of uncontrolled type 2 diabetic patients in 3 aspects: 1) self-management on diet, exercise and medication taking: likes sweet food, do not like exercise,discontinued medication; 2) role and emotion adaptation: ineffective adaptation and 3) seeking for alternative ways for blood sugar controlled: the pursuit of alternatives therapies is discontinuous or does not do well.
There were 3 related factors: 1) personal factors: know but not realize, 2) factors from health care persons:have a bad relationship and feel dissatisfied, 3) factors from families and society: they are not supported,and do not understand illness.
Promotion of positive attitude to self-management for patients and capability to care of family need to be done to support long term self-management, as well as enhance good relationships among patients and health care persons
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References
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