Type 2 diabetes patients’ perceptions about counselling elicited by interview: is it time for a more health-oriented approach?

Abstract

The aim of counselling is to optimise diabetic patients’ self-care by increasing knowledge, skills and self-awareness. Patients’ resources during counselling have been supported by highlighting health-promoting aspects.

The aim of this study was to describe diabetes patients’ perceptions of their coping resources and experiences of counselling by nurses. The ultimate aim was to understand how health-promoting aspects are realised in counselling according to diabetes patients.

We used a descriptive qualitative approach with thematic individual interviews conducted in December 2011 and January 2012. The data were analysed by inductive content analysis.

Study participants comprised 15 adults with type 2 diabetes. Participants considered their coping resources to be an accepting attitude towards the disease, adherence to self-care, knowledge of the disease and supportive relationships. In addition, activities and support by the nurse were mentioned. Participants reported that the content of counselling focused mainly on medication. The form of counselling was individual in a person-centred way.

It can be concluded from the study that resources that have a positive impact on diabetes patients’ self-care must be emphasised in counselling guidance. Nurses have the professional responsibility for counselling but also the right to have more knowledge. Nurses giving advice to diabetes patients should receive education based on the healthpromoting aspects in order to assist them in providing comprehensive guidance. The findings of the study can be used to develop comprehensive health promotion in nursing.

Keywords:

• counselling
• qualitative study
• resources
• salutogenic approach