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Self-care is Renouncement, Routine, and Control: The Experience of Adults with Type 2 Diabetes Mellitus

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  • Michela Luciani
  • Lorenzo Montali
  • Gabriella Nicolò
  • Diletta Fabrizi
  • Stefania Di Mauro
  • Davide Ausili

Abstract

Type 2 Diabetes Mellitus can cause serious complications; it has a severe impact on the quality of life and high costs. One of the key strategies to manage diabetes is self-care, a complex multifactorial process influenced by personal, cultural, and systemic factors, that comprises self-care maintenance, self-care monitoring, and self-care management. Few patients perform adequate self-care. To deepen our understanding of patients’ experiences of self-care maintenance, self-care monitoring, and self-care management, we conducted the first qualitative study on this topic. This study used Interpretive Phenomenological Analysis, informed by the Middle-range Theory of Self-care of Chronic Illness, to explore the experience and meaning of self-care maintenance, self-care monitoring, and self-care management in adults with T2DM (n = 10). Three themes were identified: self-care is renouncement, self-care is routine, and self-care is control. A cross-cutting moral pattern connects the three themes. Our findings corroborate the Middle-range Theory of Self-care of Chronic Illness in the field of diabetes self-care and could inform practitioners in understanding the experience of self-care as a complex phenomenon and in developing tailored interventions.

Suggested Citation

  • Michela Luciani & Lorenzo Montali & Gabriella Nicolò & Diletta Fabrizi & Stefania Di Mauro & Davide Ausili, 2021. "Self-care is Renouncement, Routine, and Control: The Experience of Adults with Type 2 Diabetes Mellitus," Clinical Nursing Research, , vol. 30(6), pages 892-900, July.
    • Handle: RePEc:sae:clnure:v:30:y:2021:i:6:p:892-900
    DOI: 10.1177/1054773820969540
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    References listed on IDEAS

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    1. Bjørg Oftedal & Bjørg Karlsen & Edvin Bru, 2010. "Life values and self‐regulation behaviours among adults with type 2 diabetes," Journal of Clinical Nursing, John Wiley & Sons, vol. 19(17‐18), pages 2548-2556, September.
    2. Jasmin Schabert & Jessica Browne & Kylie Mosely & Jane Speight, 2013. "Social Stigma in Diabetes," The Patient: Patient-Centered Outcomes Research, Springer;International Academy of Health Preference Research, vol. 6(1), pages 1-10, March.
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    Cited by:

    1. Michela Luciani & Camilla Bigoni & Marta Canesi & Matteo Masotto & Diletta Fabrizi & Stefania Di Mauro & Davide Ausili, 2023. "Self-Care of Adults with Type 2 Diabetes During the COVID-19 Pandemic: A Qualitative Interpretive Description Study," Clinical Nursing Research, , vol. 32(1), pages 73-83, January.

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