Chronic Illness and Self-Care Management. A Perspective of Diabetic Patients
DOI:
https://doi.org/10.18662/eejmhb.18Keywords:
Chronic disease, self-care, chronic condition, patient’s perspective.Abstract
Increasing the quality of life and life expectancy of patients at acceptable levels requires the study of the ethical dimension of medical care. The research aims at understanding the social construction of chronic illness from the patient's perspective, taking into account the perspective of patients - chronic diabetic - on the significance of the chronic illness they suffer from, and the dimensions of self-care management. The research is based on a secondary analysis of data, focus groups and interviews with insulin-dependent diabetes mellitus patients. The condition of chronic illness requires the patient to have a certain awareness - the disease as a life situation, the limitations that arise due to the chronic disease status, the lifestyle and the quality of the illness that arise from the disease. The chronic patient experiences the chronic condition, as the normality of his life, as what defines him or will define him his whole life.
References
Armstrong, D. (1995). The rise of surveillance medicine. Sociology of Health and Illness, 17(3), 393-404. doi:10.1111/1467-9566.ep10933329
Chang, H. Y., Chiou, C. J., Lin, M. C., Lin, S. H., & Tai, T. Y. (2005). A population study of the self-care behaviors and their associated factors of diabetes in Taiwan: Results from the 2001 National Health Interview Survey in Taiwan. Preventive Medicine, 40(3), 344-348. doi:10.1016/j.ypmed.2004.06.012
Channon, S., Smith, V. J., & Gregory, J. W. (2003). A pilot study of motivational interviewing in adolescents with diabetes. Archives of Disease in Childhood, 88(8), 680-683. doi:10.1136/adc.88.8.680
Damian, M., Oltean, A., & Damian, C. (2018). The impact of sedentary behavior on health and the need for physical activity in children and adolescents. Revista Romaneasca pentru Educatie Multidimensionala, 10(1), 71-83. doi:10.18662/rrem/19
Franklin, V., Waller, A., Pagliari, C., & Greene, S. (2003). "Sweet Talk": Text messaging support for intensive insulin therapy for young people with diabetes. Diabetes Technology and Therapeutics, 5(6), 991-996. doi:10.1089/152091503322641042
Frunză, M., Frunză, S., Bobb, C. V., & Grad, O. (2010). Altruistic living un related organ donation at the crossroads of ethics and religion. A case study. Journal for the Study of Religions and Ideologies, 9(27), 3-24.
Gemene, C., Unguru, E., & Sandu, A. (2018). Sociological perspectives on the quality of life correlated with the state of health. Postmodern Openings, 9(3), 76-98. doi:10.18662/po/37
Guttman N., & Ressl, W. H. (2001). On being responsible: Ethical issues in appeals to personal responsibilities in health campaigns. Journal of Health Communication, 6(2), 117-136. doi:10.1080/10810730116864
Nolte, E., & McKee, M. (Eds.). (2008). Caring for people with chronic conditions. A health system perspective. Maidenhead, UK: Open University Press.
Oprea, L., Cojocaru, D., Sandu, A., & Bulgaru-Iliescu, D. (2013). The chronic care model (CCM) and the social gradient in health. Revista de Cercetare si Interventie Sociala, 41, 176-189.
Popescu, A. (2018). Informed Consent. Ethical Perspectives in Assessing the Quality of Medical Services. Case Study at the Dorohoi. Eastern European Journal of Medical Humanities and Bioethics, 2(1), 33-74. doi: 10.18662/eejmhb/08
Sachs, L. (1996). Causality, responsibility and blame - Core issue in the cultural construction and subtext of prevention. Sociology of Health and Illness, 18(5), 632-652. doi:10.1111/1467-9566.ep10934515
Sandu, A. (2016). Social construction of reality as communicative action. Newcastle upon Tyne, UK: Cambridge Scholars Publishing.
Sandu, A., Necula, R., Frunză, A., Unguru, E., & Damian, S. (2017). A qualitative inquiry in the social construction of chronic illness. Case study on diabetes mellitus. Doctors’ perspectives. Archiv Euromedica, 7(2), 18-23.
Sandu, A., Neculau, C., & Damian, S. (2018). From narrative medicine to appreciative medicine. Archiv Euromedica, 8(1), 111-116.
Şerban, A., & Tătaru, S. (2018). The influence of general data protection regulation on patient engagement. Logos Universality Mentality Education Novelty: Law, 6(1), 56-72. doi:10.18662/lumenlaw/07
Vlădescu, C., Astărăstoae, V., & Scîntee, S. G. (2010). A health system focused on citizen’s needs. Romania situation analysis (I). Revista Romana de Bioetica, 8(2), 87-96.
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