Health in patients with Type 2 diabetes: an interview study based on the Welfare Theory of Health
Engelsk titel: Health in patients with Type 2 diabetes: an interview study based on the Welfare Theory of Health
Läs online
Författare:
Snellman I
;
Wikblad K
Email: ingrid.snellman@mdh.se
Språk: Eng
Antal referenser: 32
Dokumenttyp:
RCT
UI-nummer: 07023786
Sammanfattning
Background: In his Welfare Theory of Health Nordenfelt describes health as a person's ability to fulfil vital goals in different life areas. In order to use the theory in nursing, a semi-structured interview guide was constructed including questions about which vital goals Type 2 diabetic patients have and believe are important for their own welfare in different life areas.
Aim: The aim of the study was to carry out preliminary validation of the interview guide. Two hypotheses were formulated: (i) Dissatisfied or unhealthy diabetic persons score lower on health-related quality of life (HRQL) than do those classified as healthy; (ii) A person with diabetes who uses avoidance as his/her main coping strategy restructures his/her vital goals in order to avoid failure and thereby dissatisfaction increases.
Methods: Interviews with 155 randomly selected Type 2 diabetic patients were conducted using the interview guide. HRQL and coping were also measured. The interview data were analysed using content analysis.
Results: The results were in accordance with the health theory, i.e. a person with Type 2 diabetes may be unhealthy, but still satisfied with life as a whole. Our two hypotheses were confirmed: Dissatisfied or unhealthy subjects with Type 2 diabetes had HRQL scores in all domains but physical functioning and bodily pain that were lower than scores of those who were satisfied or healthy, and a person with Type 2 diabetes who uses avoidance as his/her main coping strategy does seem to restructure his/her vital goals to avoid failure.
Conclusion: The theory-based interview guide tested in this study seemed to reflect the notion that health includes fulfilment of vital goals. Published by arrangement with John Wiley & Sons.