A model of integration of illness and self-management in type 2 diabetes
2011 (English)In: Journal of Nursing and Healthcare of Chronic Illness, ISSN 1752-9816, Vol. 3, no 1, 41-51 p.Article in journal (Refereed) Published
Aim. To describe the process of illness integration and self-management among people with type 2 diabetes.
Background. Integration of illness is a developmental process referring to the emotional and existential aspects of being ill. It is an overarching concept that describes the process that a person undergoes in living with a chronic disease, from prediagnosis to adaptation to illness as a natural part of life. Despite the common use of terms such as illness integration and self-management, there exists little research that investigates how these concepts relate to one another.
Methods. A narrative interview study applying qualitative content analysis was conducted with people diagnosed with type 2 diabetes. The study focused on their personal understandings of illness, and particularly, the relationship of the participants’ illness integration to self-management of the disease. Data were collected in 2002.
Results. In the trajectory from prediagnosis to adaptation, there is a turning point when people seem to integrate the illness emotionally and existentially, and in relation to their self-management practice. The trajectory includes the phases of suspecting illness/being diagnosed, understanding and explaining the illness, and negotiating illness and taking stands about self-management. These phases in turn are influenced by perceptions of the seriousness and threat of the disease; the intensity and nature of the ill person’s emotional response to the disease and its management; goals and expectations for living with the disease and for living in general; and lastly, perceptions of the outcomes and impacts of self-management.
Conclusion. Illness integration and self-management processes develop simultaneously. In some cases, a turning point occurs that causes the person to view self-management as both necessary and feasible.
Relevance to clinical practice. Nurses may influence the illness integration trajectory and assist people with type 2 diabetes to integrate the disease and its management more readily.
Place, publisher, year, edition, pages
Wiley-Blackwell , 2011. Vol. 3, no 1, 41-51 p.
chronic illness, nursing research, patients’ experience, qualitative study, self-management, type 2 diabetes
IdentifiersURN: urn:nbn:se:umu:diva-41257DOI: 10.1111/j.1752-9824.2010.01078.xOAI: oai:DiVA.org:umu-41257DiVA: diva2:405377