The experiences of patients with diabetes and strategies for their management during the frst COVID-19 lockdown: a qualitative study

dc.contributor.authorVilafranca Cartagena, Mireia
dc.contributor.authorTort Nasarre, Glòria
dc.contributor.authorRomeu Labayen, Maria
dc.contributor.authorVidal Alaball, Josep
dc.date.accessioned2022-07-11T08:34:56Z
dc.date.available2022-07-11T08:34:56Z
dc.date.issued2022-05-24
dc.date.updated2022-07-11T08:34:56Z
dc.description.abstractBackground: 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. Method: 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. Results: 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). Conclusion: 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. Relevance to clinical practice: 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.
dc.format.mimetypeapplication/pdf
dc.identifier.doihttps://doi.org/10.1186/s12912-022-00911-4
dc.identifier.idgrec032537
dc.identifier.issn1472-6955
dc.identifier.urihttp://hdl.handle.net/10459.1/83613
dc.language.isoeng
dc.publisherBMC
dc.relation.isformatofReproducció del document publicat a: https://doi.org/10.1186/s12912-022-00911-4
dc.relation.ispartofBmc Nursing, 2022, vol. 21, núm. 124
dc.rightscc-by (c) Authors, 2022
dc.rights.accessRightsinfo:eu-repo/semantics/openAccess
dc.rights.urihttps://creativecommons.org/licenses/by/4.0
dc.subjectCOVID-19
dc.subjectType 2 diabetes mellitus
dc.subjectPatient isolation
dc.subjectNurses
dc.subjectPrimary health care
dc.subjectQualitative Research
dc.titleThe experiences of patients with diabetes and strategies for their management during the frst COVID-19 lockdown: a qualitative study
dc.typeinfo:eu-repo/semantics/article
dc.type.versionpublishedVersion
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