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Type 2 diabetic patients' experiences of two different educational approaches : A qualitative study

Adolfsson, Eva Thors (författare)
Uppsala universitet,Institutionen för medicinska vetenskaper,Centrum för klinisk forskning, Västerås,vårdforskning medicin
Starrin, Bengt (författare)
Smide, Bibbi (författare)
Uppsala universitet,Institutionen för medicinska vetenskaper,vårdforskning medicin
visa fler...
Wikblad, Karin (författare)
Uppsala universitet,Institutionen för medicinska vetenskaper,vårdforskning medicin
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 (creator_code:org_t)
Elsevier BV, 2008
2008
Engelska.
Ingår i: International Journal of Nursing Studies. - : Elsevier BV. - 0020-7489 .- 1873-491X. ; 7:45, s. 986-994
  • Tidskriftsartikel (refereegranskat)
Abstract Ämnesord
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  • Objective: The aim of the current study was to explore patients' experiences of participating in an empowerment group education programme or receiving individual counselling. Method: In total, 28 patients from seven primary care centres were interviewed. Of these, 14 had received individual counselling and the remaining 14 had also participated in 4-5 empowerment group sessions. The semi-structured interviews were tape-recorded, transcribed verbatim and analysed using qualitative content analysis. Findings: Three main categories crystallized from the interviews: (I) relationships, (II) learning and (III) controlling the disease. The relationships in the individual counselling seemed vertical, characterized by one-way communication with care providers acting as superiors and patients as subordinates. The relationships in the empowerment group appeared to be horizontal, characterized by trust and mutual communication. Those who had received individual counselling talked about learning by compliance-care providers acted as superiors, giving advice they expected the patients to follow. In the empowerment groups the patients talked more about participatory learning, whereby the facilitators and patients shared their knowledge and experiences. Controlling the disease could be labelled external in individual counselling, which made it difficult for patients to take responsibility for and control of their diabetes self-care. On the contrary, the patients in the empowerment group achieved the insight that diabetes is a serious disease but can be influenced, which contributed to their experience of self-control. Conclusions: The current study indicates that vertical relationships, learning by compliance and external control seem to limit patients' ability to take responsibility for their disease, while horizontal relationships, participatory learning and self-control may contribute to strengthening patients' ability to influence and be actively involved in their own care.

Nyckelord

empowerment group
individual counselling
type 2 diabetes
MEDICINE
MEDICIN

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