The experiences of patients with diabetes and strategies for their management during the first COVID-19 lockdown : a qualitative study
Vilafranca Cartagena, Mireia (Universitat de Vic - Universitat Central de Catalunya)
Tort-Nasarre, Glòria (Universitat Autònoma de Barcelona)
Romeu-Labayen, Maria (Universitat Autònoma de Barcelona)
Vidal-Alaball, Josep (Institut Català de la Salut)
Universitat Autònoma de Barcelona. Grup de Recerca Infàncies & Famílies - AFIN

Data:	2022
Descripció:	11 pàg.
Resum:	During the pandemic, primary care systems prioritised attention to COVID-19 patients; chronically ill patients, such as people with Type 2 Diabetes were obliged to take more responsibility for their own care. We aimed to analyse the experiences of patients with Type 2 Diabetes Mellitus during the stay-at-home order that was in place during the first wave of the COVID-19 pandemic and identify the strategies and resources used in managing their care. We conducted a qualitative descriptive study. The participants were ten patients with type 2 Diabetes Mellitus who experienced strict lockdown during the first wave of the COVID-19 pandemic in Catalonia, Spain, selected using intentional sampling. We recorded semi-structured interviews with the participants and conducted thematic analysis. We identified 14 subthemes, which we then grouped into three overarching themes: 1) anxiety, fear, and vulnerability (anxiety, fear, vulnerability, rethinking life, loneliness, sadness), 2) insufficient diabetes monitoring by the health system (health care received, glycaemic control, view of treatment by health providers) and proactive self-care (changes in daily routine, diet, physical activity, medication, personal protective equipment & social distancing). Despite the exceptional nature of the situation and the stress, worry, and changes in their daily lives, many respondents reported that they had successfully modified their lifestyles. Self-care was effective during confinement and was based on a process of adaptation using the resources available, without face-to-face contact with primary care health staff. These results can help to guide the design and implementation of self-care-focused strategies and also to explore new ways of empowering patients without access to health care personnel.
Drets:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Llengua:	Anglès
Document:	Article ; recerca ; Versió publicada
Matèria:	COVID-19 ; Type 2 diabetes mellitus ; Patient isolation ; Nurses ; Primary health care ; Qualitative research
Publicat a:	BMC Nursing, Vol. 21 (may 2022) , ISSN 1472-6955

DOI: 10.1186/s12912-022-00911-4
PMID: 35610635

11 p, 917.5 KB

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