Abstract
Aims
Despite diabetes patients’ efforts to control their disease, many of them are confronted
with an acute coronary event. This may evoke depressive feelings and self-management
may be complicated. According to the American Diabetes Association, the transition
from hospital to home after an acute coronary event (ACE) is a high-risk time for
diabetes patients; it should be improved. Before developing an intervention for diabetes
patients with an ACE in the period after discharge from hospital, we want to gain
a detailed understanding of patients’ views, perceptions and feelings in this respect.
Methods
Qualitative design. Two semi-structured focus groups were conducted with 14 T2DM patients (71% male,
aged 61–77 years) with a recent ACE. One focus group with partners (67% male, aged 64–75 years) was held. All interviews were transcribed verbatim and analyzed by two independent
researchers.
Results
Patients believed that coping with an ACE differs between patients with and without
T2DM. They had problems with physical exercise, sexuality and pharmacotherapy. Patients
and partners were neither satisfied with the amount of information, especially on
the combination of T2DM and ACE, nor with the support offered by healthcare professionals
after discharge. Participants would appreciate tailored self-management support after
discharge from hospital.
Conclusions
Patients with T2DM and their partners lack tailored support after a first ACE. Our
findings underpin the ADA recommendations to improve the transition from hospital
to home. The results of our study will help to determine the exact content of a self-management
support program delivered at home to help this specific group of patients to cope
with both conditions.
Keywords
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Article info
Publication history
Published online: January 06, 2014
Accepted:
December 5,
2013
Received in revised form:
December 2,
2013
Received:
July 11,
2013
Identification
Copyright
© 2013 Primary Care Diabetes Europe. Published by Elsevier Inc. All rights reserved.
