Health in patients with type 2 diabetes: An interview study based on the Welfare Theory of Health
2006 (English)In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 20, no 4, 462-471 p.Article in journal (Refereed) Published
Background: In his Welfare Theory of Health Nordenfelt describes health as a person's ability to fulfil vital goals in different life areas. In order to use the theory in nursing, a semi-structured interview guide was constructed including questions about which vital goals Type 2 diabetic patients have and believe are important for their own welfare in different life areas. Aim: The aim of the study was to carry out preliminary validation of the interview guide. Two hypotheses were formulated: (i) Dissatisfied or unhealthy diabetic persons score lower on health-related quality of life (HRQL) than do those classified as healthy; (ii) A person with diabetes who uses avoidance as his/her main coping strategy restructures his/her vital goals in order to avoid failure and thereby dissatisfaction increases. Methods: Interviews with 155 randomly selected Type 2 diabetic patients were conducted using the interview guide. HRQL and coping were also measured. The interview data were analysed using content analysis. Results: The results were in accordance with the health theory, i.e. a person with Type 2 diabetes may be unhealthy, but still satisfied with life as a whole. Our two hypotheses were confirmed: Dissatisfied or unhealthy subjects with Type 2 diabetes had HRQL scores in all domains but physical functioning and bodily pain that were lower than scores of those who were satisfied or healthy, and a person with Type 2 diabetes who uses avoidance as his/her main coping strategy does seem to restructure his/her vital goals to avoid failure. Conclusion: The theory-based interview guide tested in this study seemed to reflect the notion that health includes fulfilment of vital goals.
Place, publisher, year, edition, pages
2006. Vol. 20, no 4, 462-471 p.
Ability, Health measure, SF-36, Type 2 diabetes, Vital goals, Welfare Theory of Health
Medical and Health Sciences
IdentifiersURN: urn:nbn:se:uu:diva-23475DOI: 10.1111/j.1471-6712.2006.00447.xISI: 000243152000013PubMedID: 17116156OAI: oai:DiVA.org:uu-23475DiVA: diva2:51249