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Open Access Self-Care from the Perspective of People Living with Diabetes Les soins auto-administrés du point de vue des personnes vivant avec le diabète

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This review presents findings from a critical integrative review of research into barriers to and facilitators of self-care from the perspective of people with diabetes. The review was motivated by a perceived need to understand self-care from the perspective of those living with this chronic disease and to explore the implications of this understanding for health-care policy in Canada. Journal manuscripts and dissertations exploring self-care from the perspective of adults with type I or type II diabetes and published in English between 1993 and 2003 were reviewed. Both quantitative and qualitative studies were included. Studies were informed by varying definitions of self-care and facilitators and barriers emerged accordingly. An overarching thematic tension was evident, based on a view of self-care as revolving around the disease or evolving in the lives of people with diabetes. This tension has implications for health professionals and for those involved in policy development related to self-care.

Cette étude présente les résultats d'une importante revue intégrative de la recherche sur les obstacles et les facilitateurs des soins auto-administrés selon le point de vue des personnes atteintes de diabète. La réalisation de l'étude a été motivée par un besoin de comprendre les soins auto-administrés selon la perspective des personnes vivant avec cette maladie chronique et d'explorer les implications de cette compréhension sur les politiques de santé au Canada. Des articles et des dissertations explorant les soins auto-administrés du point de vue d'adultes souffrant de diabète de type I ou II et publiés en anglais entre 1993 et 2003 ont été analysés, et des études tant quantitatives que qualitatives ont été considérées. Comme les études s'appuyaient sur différentes définitions des soins auto-administrés, les facilitateurs et obstacles ont été définis en conséquence. Une tension thématique globale était évidente, causée par une vision des soins auto-administrés comme soit tournant autour de la maladie, soit évoluant dans la vie des personnes atteintes de diabète. Cette tension a des implications pour les professionnels de la santé et pour les personnes prenant part à l'élaboration des politiques liées aux soins auto-administrés.


Document Type: Research Article

Publication date: 2006-09-01

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