Awareness of cardiovascular risk among persons with type 2 diabetes: a qualitative study

Purpose To describe the process of becoming aware of and acting on personal cardiovascular (CVD) risk in type 2 diabetes (T2D). Method A purposive sample of 14 persons living with T2D participated in semi-structured, open-ended, in-dept interviews. The interviews were analysed with grounded theory....

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Main Authors: Lena Jutterström, Anna-Lena Stenlund, Julia Otten, Mikael Lilja, Karin Hellström Ängerud
Format: Article
Language:English
Published: Taylor & Francis Group 2024-12-01
Series:International Journal of Qualitative Studies on Health & Well-Being
Subjects:
Online Access:http://dx.doi.org/10.1080/17482631.2023.2294512
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author Lena Jutterström
Anna-Lena Stenlund
Julia Otten
Mikael Lilja
Karin Hellström Ängerud
author_facet Lena Jutterström
Anna-Lena Stenlund
Julia Otten
Mikael Lilja
Karin Hellström Ängerud
author_sort Lena Jutterström
collection DOAJ
description Purpose To describe the process of becoming aware of and acting on personal cardiovascular (CVD) risk in type 2 diabetes (T2D). Method A purposive sample of 14 persons living with T2D participated in semi-structured, open-ended, in-dept interviews. The interviews were analysed with grounded theory. Result The analysis identified the core category “Balancing emotions, integrating knowledge and understanding to achieve risk awareness and act on it.” Five categories describe the movement from not being aware of the risk of cardiovascular disease (CVD) to becoming aware of this risk and taking action to reduce it. Persons with T2D need to transform their knowledge and experience of CVD risk and incorporate it in their individual situations. Emotional and existential experiences of CVD risk can lead to awareness about the severity of the condition and contribute to increased motivation for self-management. However, an overly high emotional response can be overwhelming and may result in insufficient self-management. Conclusion Persons with T2D seemed not to fully grasp their increased risk of CVD or recognize that self-management activities were aimed at reducing this risk. However, their awareness of CVD risk gradually increased as they came to understand the severity of T2D and became more emotionally and existentially engaged.
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publishDate 2024-12-01
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series International Journal of Qualitative Studies on Health & Well-Being
spelling doaj-art-e6004abb2c204ed28d756a9f7a3a67e62025-08-20T01:55:38ZengTaylor & Francis GroupInternational Journal of Qualitative Studies on Health & Well-Being1748-26231748-26312024-12-0119110.1080/17482631.2023.22945122294512Awareness of cardiovascular risk among persons with type 2 diabetes: a qualitative studyLena Jutterström0Anna-Lena Stenlund1Julia Otten2Mikael Lilja3Karin Hellström Ängerud4Department of Nursing, Department of Public Health and Clinical Medicine, Family Medicine, Umeå University, Umeå, SwedenUmeå UniversityUmeå UniversityUmeå UniversityUmeå UniversityPurpose To describe the process of becoming aware of and acting on personal cardiovascular (CVD) risk in type 2 diabetes (T2D). Method A purposive sample of 14 persons living with T2D participated in semi-structured, open-ended, in-dept interviews. The interviews were analysed with grounded theory. Result The analysis identified the core category “Balancing emotions, integrating knowledge and understanding to achieve risk awareness and act on it.” Five categories describe the movement from not being aware of the risk of cardiovascular disease (CVD) to becoming aware of this risk and taking action to reduce it. Persons with T2D need to transform their knowledge and experience of CVD risk and incorporate it in their individual situations. Emotional and existential experiences of CVD risk can lead to awareness about the severity of the condition and contribute to increased motivation for self-management. However, an overly high emotional response can be overwhelming and may result in insufficient self-management. Conclusion Persons with T2D seemed not to fully grasp their increased risk of CVD or recognize that self-management activities were aimed at reducing this risk. However, their awareness of CVD risk gradually increased as they came to understand the severity of T2D and became more emotionally and existentially engaged.http://dx.doi.org/10.1080/17482631.2023.2294512cardiovascular risktype 2 diabetesprimary health carerisk awarenesspatients’ experiencesqualitative
spellingShingle Lena Jutterström
Anna-Lena Stenlund
Julia Otten
Mikael Lilja
Karin Hellström Ängerud
Awareness of cardiovascular risk among persons with type 2 diabetes: a qualitative study
International Journal of Qualitative Studies on Health & Well-Being
cardiovascular risk
type 2 diabetes
primary health care
risk awareness
patients’ experiences
qualitative
title Awareness of cardiovascular risk among persons with type 2 diabetes: a qualitative study
title_full Awareness of cardiovascular risk among persons with type 2 diabetes: a qualitative study
title_fullStr Awareness of cardiovascular risk among persons with type 2 diabetes: a qualitative study
title_full_unstemmed Awareness of cardiovascular risk among persons with type 2 diabetes: a qualitative study
title_short Awareness of cardiovascular risk among persons with type 2 diabetes: a qualitative study
title_sort awareness of cardiovascular risk among persons with type 2 diabetes a qualitative study
topic cardiovascular risk
type 2 diabetes
primary health care
risk awareness
patients’ experiences
qualitative
url http://dx.doi.org/10.1080/17482631.2023.2294512
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