Diabetes self-management by Kenyan adults: Utilising the adapted Kawa River model

Esther Asenahabi Opisa , Marianne Reid
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Abstract

The outcome of diabetes management depends on diabetes self-management practices, in which factors assisting or hindering self-care play an essential role. This study identified enablers and barriers to diabetes self-management in adults diagnosed with diabetes in Kenya. The adapted Kawa River model was applied to collect data during semi-structured group discussions (n = 6). Adults (n = 32) diagnosed with diabetes at two geographically distinct county hospitals were purposively selected. The integrated model of behaviour prediction formed the theoretical platform of the study, and data were deductively analysed according to the distal variables in the model. Thematic analysis identified specific categories as enablers and barriers to diabetes self-management. The duplicated categories are economic determinants, dietary factors, support networks, and emotional influences. Health and physical status were identified as additional barriers to diabetes self-management. Findings may be more widely applicable than the context of the presented study. Self-management in diabetes care plays a crucial role, more so due to the worldwide increase in the prevalence of diabetes.

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肯尼亚成年人的糖尿病自我管理:利用经改编的卡瓦河模式
糖尿病管理的结果取决于糖尿病自我管理的实践,其中协助或阻碍自我护理的因素起着至关重要的作用。本研究确定了肯尼亚成年糖尿病患者进行糖尿病自我管理的有利因素和障碍。在半结构化小组讨论(n = 6)中,采用改编的卡瓦河模型收集数据。我们有目的地选择了两家地理位置不同的县级医院中确诊患有糖尿病的成年人(n = 32)。行为预测综合模型构成了本研究的理论平台,并根据模型中的远端变量对数据进行了演绎分析。主题分析确定了糖尿病自我管理的促进因素和障碍的具体类别。重复的类别包括经济决定因素、饮食因素、支持网络和情绪影响。健康和身体状况被认为是糖尿病自我管理的额外障碍。研究结果的适用范围可能比本研究的范围更广。自我管理在糖尿病护理中发挥着至关重要的作用,由于全球糖尿病发病率的增加,这一点显得尤为重要。
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来源期刊
CiteScore
2.40
自引率
0.00%
发文量
114
审稿时长
21 weeks
期刊介绍: International Journal of Africa Nursing Sciences (IJANS) is an international scientific journal published by Elsevier. The broad-based journal was founded on two key tenets, i.e. to publish the most exciting research with respect to the subjects of Nursing and Midwifery in Africa, and secondly, to advance the international understanding and development of nursing and midwifery in Africa, both as a profession and as an academic discipline. The fully refereed journal provides a forum for all aspects of nursing and midwifery sciences, especially new trends and advances. The journal call for original research papers, systematic and scholarly review articles, and critical papers which will stimulate debate on research, policy, theory or philosophy of nursing as related to nursing and midwifery in Africa, technical reports, and short communications, and which will meet the journal''s high academic and ethical standards. Manuscripts of nursing practice, education, management, and research are encouraged. The journal values critical scholarly debate on issues that have strategic significance for educators, practitioners, leaders and policy-makers of nursing and midwifery in Africa. The journal publishes the highest quality scholarly contributions reflecting the diversity of nursing, and is also inviting international scholars who are engaged with nursing and midwifery in Africa to contribute to the journal. We will only publish work that demonstrates the use of rigorous methodology as well as by publishing papers that highlight the theoretical underpinnings of nursing and midwifery as it relates to the Africa context.
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