PMID- 32745041
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20200803
IS  - 2380-9426 (Electronic)
IS  - 2380-9418 (Linking)
VI  - 11
IP  - 1
DP  - 2018
TI  - Grieving the Loss of Self: Challenges in Type 2 Diabetes Mellitus 
      Self-Management.
PG  - 25-34
LID - 10.1891/2380-9418.11.1.25 [doi]
AB  - The aim of this study was to understand and describe the experience of diabetes 
      self-management among patients not meeting glycemic control (A1C > 9). Type 2 
      diabetes mellitus (T2DM) is a complex chronic disease process. Diabetes 
      self-management is equally complex and critical to patient outcomes and quality 
      of life. The components for self-management include: knowledge, skills/abilities, 
      and support. Few studies have reported on the experiences of self-management for 
      patients with T2DM to reach and sustain glycemic control. This study used a 
      qualitative descriptive design. Semistructured interviews were conducted with 13 
      patients receiving care at a diabetic clinic at a major health-care system in New 
      York City. An interview guide was developed based on diabetes self-management 
      which guided the interviews. All data were analyzed using qualitative content 
      analysis. Initially, three themes that describe each component of diabetes 
      mellitus self-management (DMSM) and impact the patients' reaching the desired 
      outcome were identified: acceptance of knowledge, motivation for skills and 
      abilities, and variability and vulnerability of support. Further analysis of the 
      three themes led to the identification of an overarching, theme: loss of self. 
      This overarching theme helped to explain the stages of grief illustrated across 
      the themes in the participants DMSM experiences. The participants in this study 
      identified loss of self, and the accompanying grief and grieving process related 
      to the loss of self in response to their T2DM diagnosis. Participants were 
      "stuck" in a stage of loss of self, which presented challenges to acceptance of 
      their diagnosis, barriers to DMSM, and optimizing glycemic control.
CI  - (c) 2018 Springer Publishing Company, LLC.
FAU - Ferrara, Lucille
AU  - Ferrara L
AD  - Pace University, College of Health Professions, Lienhard School of Nursing, New 
      York, NY lferrara@pace.edu.
FAU - Singleton, Joanne
AU  - Singleton J
AD  - Pace University, College of Health Professions, Lienhard School of Nursing, New 
      York, NY.
FAU - Yang, Kyeongra
AU  - Yang K
AD  - Pace University, College of Health Professions, Lienhard School of Nursing, New 
      York, NY.
FAU - Frederickson, Keville
AU  - Frederickson K
AD  - Pace University, College of Health Professions, Lienhard School of Nursing, New 
      York, NY.
FAU - Rivera, Elsy
AU  - Rivera E
AD  - Pace University, College of Health Professions, Lienhard School of Nursing, New 
      York, NY.
LA  - eng
PT  - Journal Article
PL  - United States
TA  - J Dr Nurs Pract
JT  - Journal of doctoral nursing practice
JID - 101685366
SB  - IM
OTO - NOTNLM
OT  - DM self-management
OT  - T2DM
OT  - chronic disease management
OT  - grieving process
OT  - loss of self
OT  - qualitative descriptive
EDAT- 2018/01/01 00:00
MHDA- 2018/01/01 00:01
CRDT- 2020/08/04 06:00
PHST- 2020/08/04 06:00 [entrez]
PHST- 2018/01/01 00:00 [pubmed]
PHST- 2018/01/01 00:01 [medline]
AID - 11/1/25 [pii]
AID - 10.1891/2380-9418.11.1.25 [doi]
PST - ppublish
SO  - J Dr Nurs Pract. 2018;11(1):25-34. doi: 10.1891/2380-9418.11.1.25.