Understanding the experiences of long-term maintenance of self-worth in persons with type 2 diabetes in Japan: a qualitative study
Objective Persons with type 2 diabetes are often stigmatised for having what is considered a lifestyle-related disease. Accordingly, some blame themselves for their condition, resulting in feelings of low self-worth that ultimately impact their self-management behaviours. However, there are no studi...
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| Format: | Article |
| Language: | English |
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BMJ Publishing Group
2020-08-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/10/8/e034758.full |
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| author | Yuka Kobayashi Kazuhiro Yoshiuchi Toshimasa Yamauchi Takashi Kadowaki Tomohide Yamada Masatoshi Kobayashi Yoshihiko Izumida |
| author_facet | Yuka Kobayashi Kazuhiro Yoshiuchi Toshimasa Yamauchi Takashi Kadowaki Tomohide Yamada Masatoshi Kobayashi Yoshihiko Izumida |
| author_sort | Yuka Kobayashi |
| collection | DOAJ |
| description | Objective Persons with type 2 diabetes are often stigmatised for having what is considered a lifestyle-related disease. Accordingly, some blame themselves for their condition, resulting in feelings of low self-worth that ultimately impact their self-management behaviours. However, there are no studies examining why some do not blame themselves for their condition and manage to maintain their self-worth in relation to their illness. This study aimed to explore an understanding of how such persons experience the maintenance of self-worth in relation to their illness over the lifelong course of treatment.Design A cross-sectional qualitative study. Face-to-face semistructured interviews were conducted with a purposive sampling strategy. The data was analysed using a qualitative descriptive method that involved concurrent data collection and constant comparative analysis.Setting Two tertiary-level hospitals in Japan.Participants Thirty-three outpatients with type 2 diabetes who currently had good glycaemic control but had previously had poor glycaemic control.Results Three themes explaining the maintenance of self-worth were identified: (1) Participants gained ‘control’ over their illness by living a ‘normal life.’ They found a way to eat preferred foods, dine out with family and friends, travel and work as usual; (2) Participants discovered the positive aspects of type 2 diabetes, as they felt ‘healthier’ from the treatment and felt a sense of security and gratitude for the care they received from healthcare professionals; (3) Participants discovered a new sense of self-worth by moving towards goals for type 2 diabetes treatment and experienced inner growth through positive lifestyle choices.Conclusions The process of restoring and maintaining self-worth should be brought to the attention of healthcare professionals in diabetes care. These professionals could help patients discover positive self-representations through diabetes treatment (eg, a realisation that one does not lack self-control) and could aid in increasing patient engagement in diabetes self-management. |
| format | Article |
| id | doaj-art-e70e9b201e4645f7847c0b463798b69d |
| institution | Kabale University |
| issn | 2044-6055 |
| language | English |
| publishDate | 2020-08-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-e70e9b201e4645f7847c0b463798b69d2024-12-02T03:20:13ZengBMJ Publishing GroupBMJ Open2044-60552020-08-0110810.1136/bmjopen-2019-034758Understanding the experiences of long-term maintenance of self-worth in persons with type 2 diabetes in Japan: a qualitative studyYuka Kobayashi0Kazuhiro Yoshiuchi1Toshimasa Yamauchi2Takashi Kadowaki3Tomohide Yamada4Masatoshi Kobayashi5Yoshihiko Izumida6Department of Mental Health, Graduate School of Medicine, The University of Tokyo, Bunkyo-ku, JapanDepartment of Stress Sciences and Psychosomatic Medicine, Graduate School of Medicine, The University of Tokyo, Tokyo, JapanDepartment of Diabetes and Metabolic Diseases, Graduate School of Medicine, The University of Tokyo, Tokyo, JapanDepartment of Prevention of Diabetes and Lifestyle-Related Diseases, Graduate School of Medicine, The University of Tokyo, Tokyo, JapanDepartment of Diabetes and Metabolic Diseases, Graduate School of Medicine, The University of Tokyo, Tokyo, JapanDepartment of Diabetes and Metabolic Diseases, Graduate School of Medicine, The University of Tokyo, Tokyo, JapanDepartment of Diabetes and Metabolic Diseases, Graduate School of Medicine, The University of Tokyo, Tokyo, JapanObjective Persons with type 2 diabetes are often stigmatised for having what is considered a lifestyle-related disease. Accordingly, some blame themselves for their condition, resulting in feelings of low self-worth that ultimately impact their self-management behaviours. However, there are no studies examining why some do not blame themselves for their condition and manage to maintain their self-worth in relation to their illness. This study aimed to explore an understanding of how such persons experience the maintenance of self-worth in relation to their illness over the lifelong course of treatment.Design A cross-sectional qualitative study. Face-to-face semistructured interviews were conducted with a purposive sampling strategy. The data was analysed using a qualitative descriptive method that involved concurrent data collection and constant comparative analysis.Setting Two tertiary-level hospitals in Japan.Participants Thirty-three outpatients with type 2 diabetes who currently had good glycaemic control but had previously had poor glycaemic control.Results Three themes explaining the maintenance of self-worth were identified: (1) Participants gained ‘control’ over their illness by living a ‘normal life.’ They found a way to eat preferred foods, dine out with family and friends, travel and work as usual; (2) Participants discovered the positive aspects of type 2 diabetes, as they felt ‘healthier’ from the treatment and felt a sense of security and gratitude for the care they received from healthcare professionals; (3) Participants discovered a new sense of self-worth by moving towards goals for type 2 diabetes treatment and experienced inner growth through positive lifestyle choices.Conclusions The process of restoring and maintaining self-worth should be brought to the attention of healthcare professionals in diabetes care. These professionals could help patients discover positive self-representations through diabetes treatment (eg, a realisation that one does not lack self-control) and could aid in increasing patient engagement in diabetes self-management.https://bmjopen.bmj.com/content/10/8/e034758.full |
| spellingShingle | Yuka Kobayashi Kazuhiro Yoshiuchi Toshimasa Yamauchi Takashi Kadowaki Tomohide Yamada Masatoshi Kobayashi Yoshihiko Izumida Understanding the experiences of long-term maintenance of self-worth in persons with type 2 diabetes in Japan: a qualitative study BMJ Open |
| title | Understanding the experiences of long-term maintenance of self-worth in persons with type 2 diabetes in Japan: a qualitative study |
| title_full | Understanding the experiences of long-term maintenance of self-worth in persons with type 2 diabetes in Japan: a qualitative study |
| title_fullStr | Understanding the experiences of long-term maintenance of self-worth in persons with type 2 diabetes in Japan: a qualitative study |
| title_full_unstemmed | Understanding the experiences of long-term maintenance of self-worth in persons with type 2 diabetes in Japan: a qualitative study |
| title_short | Understanding the experiences of long-term maintenance of self-worth in persons with type 2 diabetes in Japan: a qualitative study |
| title_sort | understanding the experiences of long term maintenance of self worth in persons with type 2 diabetes in japan a qualitative study |
| url | https://bmjopen.bmj.com/content/10/8/e034758.full |
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