Thesis (M. A. (Psychology)) -- University of Limpopo, 2021 / Diabetes has been noted globally and nationally as one of the leading causes of mortality. Studies have also shown that this morbid condition has a negative impact on the psychological well-being of those affected. The aim of this study was to survey the psychological well-being and quality of life of diabetic patients in Ga-Dikgale community, Limpopo Province, South Africa. The objectives of the study were to establish the psychological well-being and quality of life of diabetic patients at clinics in Ga-Dikgale according to gender and age. Using the General Health Questionnaire (GHQ) and the Quality of Life Indexes (QoLI), data was collected from 200 diabetic patients from clinics at Ga-Dikgale. The Kruskal-Wallis test results, amongst others, show that there are no statistically significant differences between the genders on the General Health questionnaire, (1) = 1.19, p = 0.22. The study recommends that outcomes of the psychological well-being and quality of life of diabetic patients can be improved if health practitioners factor in variances in modifying diabetes education and supportive care for individuals diagnosed with chronic conditions such as diabetes in association with mental health experts to ensure that the psychological well-being of these patients is prioritised. There is also a need to assess the psychological well-being and quality of life of diabetic patients in comparison to non-diabetic patients in rural communities such as Ga-Dikgale / VLIR-UOS (Flemish University Council)

Bakgrund: Diabetes Mellitus typ 2 (DM2) är en global hälsoutmaning med ökande prevalens. Trots evidensbaserade riktlinjer för egenvård finns många fall av bristande följsamhet. Genom att undersöka personernas upplevelser av den förskrivna egenvården är förhoppningen att en djupare förståelse kan uppnås och integrera detta i framtida omvårdnadspraxis. Syfte: Syftet med detta arbete är att beskriva egenvårdsupplevelser hos personer som lider av Diabetes Mellitus Typ 2. Metod: Allmän litteraturstudie med kvalitativ design som följer Polit och Becks niostegsmodell. Originalartiklar inhämtades från databaserna Pubmed och Cinahl och analyserades med Braun och Clarks modell för tematisk analys. Resultat: Resultatet bygger på data från åtta originalartiklar och identifierar tre huvudteman, formulerade som relationer: ”Relationen till hälso- & sjukvården”, ”De sociala relationernas betydelse” samt ”Relationen till sig själv”, vilka i sin tur beskrivs utifrån två underteman vardera. Slutsats: Studien visade att originalstudiernas deltagare upplevde både emotionella och praktiska utmaningar, men också känslor av hopp och framgång. Familje- och närståendestöd var viktiga trygghetsfaktorer, och kontinuitet i kontakten med vårdpersonal visade sig ha en betydande inverkan på hur egenvården upplevdes. Fortsatt forskning behövs för att förstå dessa upplevelser bättre och hur de påverkar egenvårdsförmågan hos de personer som lider av DM2, och bidra till en förbättrad och mer jämlik vård, särskilt för dem som upplever svårigheter med egenvården. / Background: Diabetes Mellitus type 2 is a global health challenge with increasing prevalence. Despite evidence-based guidelines for self-care, there are many cases of lacking compliance. By exploring people's experiences of prescribed self-care, the hope is to achieve a deeper understanding and integrate this into future nursing practices. Aim: The purpose of this study is to describe self-care experiences among persons suffering from Diabetes Mellitus Type 2. Method: A general literature review with a qualitative design that follows Polit and Beck's nine-step model. The data was collected from original studies found in the databases Pubmed and Cinahl and was analyzed using Braun and Clark's model for thematic analysis. Results: The results are based on eight original studies and identifies three main themes, expressed as Relationships: “The relationship to health care”, “The importance of social relationships" and “The relation to oneself", each theme is described as two sub-themes. Conclusion: The study revealed that participants in the original studies experienced both emotional and practical challenges, alongside feelings of hope and success. Family and peer support were crucial sources of comfort, and continuity in healthcare contacts significantly influenced the perception of self-care. Further research is needed to better understand these experiences and their impact on self-care abilities in people suffering from DM2, aiming to contribute to improved and more equitable healthcare, especially for those facing difficulties with self-care.

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