TITLE:
Perception of Losses Experienced by the Diabetic Patient
AUTHORS:
Diana Cecilia Tapia-Pancardo, Lucia Velázquez-Hernández, Rafael Villalobos-Molina
KEYWORDS:
Diabetes, Patient Physical and Emotional Losses, Thanatology
JOURNAL NAME:
Open Journal of Nursing,
Vol.12 No.9,
September
21,
2022
ABSTRACT: A person living with diabetes mellitus is conscious that this pathology will not cause its death in the short term, but they face losses and experience grief on multiple occasions along with the chronicity of the disease. In most cases, the partner or close relative also experiences a great impact since they become a family caregiver. The goal of this study was: to analyze the perception of losses experienced by the diabetic patient along with the chronicity of the illness. Method: This was qualitative research, with a phenomenological method under the philosophical view of Husserl and the theoretical support of Kübler-Ross with a descriptive design. Four diabetic patients aged 18 to 75 years old of both genders participated; they asked for hospital attention due to complications of the disease. Selection of participants was by convenience up to reach saturation. Data were collected through semi-structured interviews, field notes and observation. The setting of the first contact was in a third-level hospital in Mexico City; the second one was through programmed home visits. These occurred by a chronogram agreed upon by the participants, and a room was selected with conditions of privacy to conduct the interviews; respect was always observed. Participants signed informed consent. Data analysis was according to Miles and Huberman, by means of three tasks: information acquisition, data transcription and codification, and conclusions. Results: After the qualitative analysis four categories emerged, as well as sub-categories, as follows: Category 1: Self-losses perceived by the patient, sub-categories 1.1 Beginning the mourn step: Negation; 1.2 Silent illness that produces severe damage; 1.3 Complicated/chronic mourn. Category 2: Emotions along the disease chronicity, sub-categories 2.1 Negation of emotions/distortion of natural emotions; 2.2 Decisions taken based on feelings. Category 3: Changes in the diabetic patient’s nutrition, sub-categories 3.1 Culture: positive reinforcement from childhood; 3.2 Constant mourn; 3.3 Pleasure by forbidden foods. Category 4: Benefits in the diabetic patient, sub-categories 4.1 Need to be in a support net; 4.2 Bonding ties and love by relatives. Conclusion: Self, relational, material, and extensive losses that add to the diabetes mellitus chronicity accompany the patient with long-term negative emotions, but to accomplish the goals of care and limit the damage nourish its positive emotions; the starting point is from the perception of the first news knowing the diagnostic, if this reality is accompanied by thanatology counsel to diminish the negation and anger steps, when realizing the change in health, then a positive perception for this first mourn and more to come along time, will appear in the patient. Thanatology or health counsel will favor the patient to undertake illness control to have a better life quality.