Abstract：
AIM:This paper is a report of a study conducted to elucidate experiences and perceptions of self-management of diabetes as narrated by older people diagnosed with insulin-dependent diabetes living in a rural area. BACKGROUND:Older people worldwide are disproportionately affected by diabetes and are more likely to have co-morbidities and disabilities. Guidelines for management, developed by the American Diabetes Association, are not targeted for this population. A plethora of quantitative research has investigated self-management issues, with little change to outcomes. This pleads for consideration of a new diabetes education model, which includes consideration of experiences within clients' worldviews. METHOD:Unstructured interviews starting with an open question were conducted from a purposive sample in 2005. Interviews were transcribed and analysed according to the tenets of existential phenomenology, a process which began with bracketing the researcher's biases. Findings. Living with poorly controlled diabetes led participants to introspection and existential questioning. Four connected themes were identified: 'Your Body Will Let You Know'; 'I Thought I Was Fine, But I Wasn't'; 'The Only Way Out is to Die'; and 'You Just Go On'. CONCLUSION:Currently designed from a medical perspective, diabetes education should be based on a nursing model incorporating the client's insights and experiences. When managing diabetes is viewed from a client's perspective, the focus becomes solving problems that arise in self-regulation of one's own regimen rather than in complying with doctor's orders. Nurses need to reframe the problem by excluding the compliance/noncompliance model and developing a conceptual perspective on self-management that is grounded in world and body.
journal_name
J Adv Nursjournal_title
Journal of advanced nursingauthors
George SR,Thomas SPdoi
10.1111/j.1365-2648.2010.05278.xsubject
Has Abstractpub_date
2010-05-01 00:00:00pages
1092-100issue
5eissn
0309-2402issn
1365-2648pii
JAN5278journal_volume
66pub_type
杂志文章abstract：:As families maintain the primary responsibility for the care of the chronic pain sufferer, this paper examines the family's aetiological role in chronic pain, the ways in which the family influences and maintains pain, and the impact that chronic pain has on the family unit. Although some of the research is contentiou...
journal_title：Journal of advanced nursing
pub_type： 杂志文章,评审
doi：10.1111/j.1365-2648.1990.tb01905.x
更新日期：1990-07-01 00:00:00
abstract：AIM:This paper is a report of a study exploring the role and practice of nurse anaesthetists, with particular attention to describing how it is 'nursing'. BACKGROUND:In many countries, there is no nurse anaesthetist role. Recent events suggest that hesitancy about the role may be changing in Canada. Yet, there is limi...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/j.1365-2648.2009.05207.x
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journal_title：Journal of advanced nursing
pub_type： 杂志文章
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journal_title：Journal of advanced nursing
pub_type： 杂志文章
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journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1046/j.1365-2648.2002.02321.x
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journal_title：Journal of advanced nursing
pub_type： 杂志文章,评审
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journal_title：Journal of advanced nursing
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journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1046/j.1365-2648.2001.01650.x
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journal_title：Journal of advanced nursing
pub_type： 杂志文章,评审
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journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/j.1365-2648.1992.tb01910.x
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journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/j.1365-2648.1998x.00706.x
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journal_title：Journal of advanced nursing
pub_type： 杂志文章,评审
doi：10.1111/j.1365-2648.1996.tb03131.x
更新日期：1996-01-01 00:00:00
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journal_title：Journal of advanced nursing
pub_type： 杂志文章,评审
doi：10.1111/j.1365-2648.1994.tb01102.x
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journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/j.1365-2648.2006.03950.x
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journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1046/j.1365-2648.1998.00690.x
更新日期：1998-08-01 00:00:00
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journal_title：Journal of advanced nursing
pub_type： 杂志文章,评审
doi：
更新日期：2000-10-01 00:00:00
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journal_title：Journal of advanced nursing
pub_type： 杂志文章,评审
doi：10.1111/jan.14692
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journal_title：Journal of advanced nursing
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更新日期：2016-09-01 00:00:00
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journal_title：Journal of advanced nursing
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journal_title：Journal of advanced nursing
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journal_title：Journal of advanced nursing
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journal_title：Journal of advanced nursing
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journal_title：Journal of advanced nursing
pub_type： 杂志文章,评审
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更新日期：2019-11-01 00:00:00
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journal_title：Journal of advanced nursing
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journal_title：Journal of advanced nursing
pub_type： 杂志文章
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更新日期：2010-11-01 00:00:00
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journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/j.1365-2648.2009.05140.x
更新日期：2010-02-01 00:00:00
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journal_title：Journal of advanced nursing
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journal_title：Journal of advanced nursing
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doi：10.1111/j.1365-2648.1992.tb01811.x
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journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1046/j.1365-2648.2000.01595.x
更新日期：2000-11-01 00:00:00
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journal_title：Journal of advanced nursing
pub_type： 杂志文章
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