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"I have got diabetes!" - interviews of patients newly diagnosed with type 2 diabetes

Artikel i vetenskaplig tidskrift
Författare M. Pikkemaat
Kristina Bengtsson Boström
E. L. Strandberg
Publicerad i Bmc Endocrine Disorders
Volym 19
ISSN 1472-6823
Publiceringsår 2019
Publicerad vid Institutionen för medicin, avdelningen för samhällsmedicin och folkhälsa
Språk en
Länkar dx.doi.org/10.1186/s12902-019-0380-...
Ämnesord Type 2 diabetes, Newly diagnosed, Interview, Primary health care, Complications, Qualitative content analysis, cardiovascular-disease, mellitus, complications, management, copeptin, barriers, people, communication, retinopathy, prevalence, Endocrinology & Metabolism
Ämneskategorier Endokrinologi och diabetes

Sammanfattning

BackgroundTo be diagnosed with type 2 diabetes is a challenge for every patient. There are previous studies on patients' experience in general but not addressing the increased cardiovascular risk and multifactorial treatment. The aim of this study was to explore the thoughts, experiences and reactions of newly diagnosed patients with diabetes to this diagnosis and to the risk of developing complications.MethodsTen adults (7 men/3 women, aged 50-79) diagnosed with type 2 diabetes within the last 12months were interviewed at a primary health care center in Sweden. An interview guide was used in the semi-structured interviews that were transcribed verbatim. The analysis was qualitative and inspired by systematic text condensation (Malterud). The text was read several times and meaning units were identified. Related meaning units were sorted into codes and related codes into categories during several meetings between the authors. Finally, the categories were merged and formed themes.ResultsWe defined three main themes: Reaction to diagnosis, Life changes and Concerns about the future. Most patients reacted to the diagnosis without intensive feelings. Lifestyle changes were mainly accepted but hard to achieve. The patients' major concerns for the future were the consequences for daily life (being able to drive and read) and concerns for relatives rather than anxieties regarding medical issues such as laboratory tests. There were considerable differences in how much patients wanted to know about their future risks.ConclusionsThe results of this study might help to focus doctor-patient communication on issues highlighted by the patients and on the importance of individualizing information and recommendations for each patient.

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