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- Title
The self-management experience of patients with type 2 diabetes and chronic kidney disease: A qualitative study.
- Authors
Shirazian, Shayan; Park, Joonho; Mattana, Joseph; Crnosija, Natalie; Hammock, Amy C.; Weinger, Katie; Jacobson, Alan M.; Tanenbaum, Molly L.; Gonzalez, Jeffrey S.
- Abstract
Background The purpose of this study was to explore views related to the self-management of type 2 diabetes and chronic kidney disease. Methods We conducted three semi-structured focus groups in participants with type 2 diabetes and chronic kidney disease. Interviews were transcribed, coded, and analyzed using thematic analysis. Credibility was supported through triangulation of data sources and the use of multiple investigators from different disciplines. Results Twenty-three adults participated. Three major themes were identified: emotional reactions to health state, the impact of family dynamics on self-management, and the burden of self-management regimens. Family dynamics were found to be a barrier and support to self-management, while complicated self-management regimens were found to be a barrier. Additionally, participants expressed several emotional reactions related to their CKD status, including regret related to having developed CKD and distress related both to their treatment regimens and the future possibility of dialysis. Conclusions This exploratory study of patients with type 2 diabetes and chronic kidney disease describes barriers and supports to self-management and emotional reactions to chronic kidney disease status. Future research should confirm these findings in a larger population and should include family members and/or health care providers to help further define problems with self-management in patients with type 2 diabetes and chronic kidney disease.
- Subjects
HEALTH self-care; TYPE 2 diabetes &; psychology; CHRONIC kidney failure; FAMILIES &; psychology; EMOTIONS; FOCUS groups; INTERVIEWING; RESEARCH methodology; RESEARCH; RESEARCH evaluation; QUALITATIVE research; JUDGMENT sampling; THEMATIC analysis; DATA analysis software; FIELD notes (Science); PSYCHOLOGY
- Publication
Chronic Illness, 2016, Vol 12, Issue 1, p18
- ISSN
1742-3953
- Publication type
Article
- DOI
10.1177/1742395315614381