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Erfarenheter och upplevelser av hypoglykemi hos vuxna med diabetes mellitus: En kvalitativ intervjustudie
Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
2015 (Swedish)Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesisAlternative title
Experiences of hypoglycaemia in adults with diabetes mellitus : A qualitative interview study (English)
Abstract [sv]

Bakgrund: Omkring en tredjedel av personer med diabetessjukdom drabbas någon gång av hypoglykemi med medvetslöshet som följd. Upplevelsen av hypoglykemi var obehaglig och försökte undvikas vilket ofta resulterade i högre plasmaglukosvärden. Omvårdnaden kunde innebära att hjälpa personer att hantera obehagliga upplevelser av hypoglykemi i det dagliga livet.

Syfte: Att beskriva vuxnas erfarenheter och upplevelser av hypoglykemi vid diabetes mellitus, samt vilka konsekvenser hypoglykemi leder till i det dagliga livet.

Metod: Denna studie har genomförts med en kvalitativ innehållsanalys med induktiv ansats. Studien har genomförts som en sekundäranalys av semistrukturerade intervjuer. Antalet informanter var totalt 29 varav 15 med diabetes typ 1 och 14 med diabetes typ 2.

Resultat: Temat som framkom var Hypoglykemi är ständigt närvarande och gestaltar sig olika med följande kategorier: Symtom av hypoglykemi kunde komma som en blixt från en klar himmel, Kunskapen kom genom livets erfarenheter, Träning och motion idag – konsekvenser i morgon, Egenvård kunde upplevas som att inte vara fri, Omgivningens stöd – en trygghet vid sjukdom.

Konklusion: Förekomsten av hypoglykemi var vanligt och upplevdes som obehagligt och orsakade rädsla. Underbehandling sågs som en konsekvens. Bättre stöd, hjälp och information från specialistsjuksköterskor efterfrågades. Kunskap och information, även till anhöriga, ansågs viktigt för att minska rädsla och obehag av hypoglykemi.

Abstract [en]

Background: Approximately one third of people with diabetes suffer episodes of hypoglycaemia with a loss of consciousness as a result. The incidence of hypoglycaemia is unpleasant and patients attempt to avoid this event, which often results in higher plasmaglucose values. Dedicated nursing care involves helping people to cope with unpleasant experiences of hypoglycaemia in daily life.

Aim: To describe adults' experiences of hypoglycaemia in diabetes mellitus, and the consequences hypoglycaemia leads to daily life.

Method: This study was conducted with a qualitative content analysis with an inductive approach. The study was conducted as a secondary analysis of semi-structured interwievs. The number of study participants were a total of 29 of which 15 with Type 1 diabetes and 14 with Type 2 diabetes.

Results: The theme that emerged was: Hypoglycaemia is an ever present risk and is shaped differently with the following categories. Symptoms of hypoglycaemia could come as a bolt from the blue. Knowledge comes from life experiences. Training and exercise today - often have consequences tomorrow for patients. Self management could be perceived as a feeling of not being free. Family support – could mean security in illness.

Conclusion: The incidence of hypoglycaemia is a common event and is perceived as unpleasant and unsafe event and causing fear in people suffering from diabetes. Undertreatment was seen as a consequence. Better support, help and information from the specialist nurses were needed. Knowledge and information, even to family members, was considered important to reduce the fear and discomfort of hypoglycaemia.

Place, publisher, year, edition, pages
2015.
Keyword [en]
Diabetes mellitus, Life experiences, Hypoglycemia, Qualitative.
Keyword [sv]
Diabetes mellitus, erfarenheter, hypoglykemi, kvalitativ.
National Category
Nursing
Identifiers
URN: urn:nbn:se:du-20858OAI: oai:DiVA.org:du-20858DiVA: diva2:898510
Available from: 2016-01-28 Created: 2016-01-28 Last updated: 2016-02-05Bibliographically approved

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