SENSE MAKING OF COMPREHENSIVE DIABETIC CARE INFORMATION AMONG TYPE 2 DIABETIC PATIENTS ATTENDING ENDOCRINOLOGY CLINIC IN ZARIA, NIGERIA
SENSE MAKING OF COMPREHENSIVE DIABETIC CARE INFORMATION AMONG TYPE 2 DIABETIC PATIENTS ATTENDING ENDOCRINOLOGY CLINIC IN ZARIA, NIGERIA
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Date
2019-03
Authors
QUADIR, Romoke Opeyemi
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Abstract
Sense making is the process by which people create meaning out of their collective experiences
to address a problem. The study investigated the sense making of health of diabetic information
among type 2 diabetes mellitus patients. To achieve the objectives, the study raised six research
questions: (1) What complications do type 2 diabetes mellitus patients in Zaria metropolis
experience?(2) What information do type 2 diabetes mellitus patients in Zaria metropolis receive
from Endocrinology Clinic to manage diabetes?(3) Who do diabetic patients in Zaria metropolis
consult for information outside Endocrinology Clinic for managing complications from
diabetes?(4)How has information received from Endocrinology clinic contradicted the prior
knowledge of diabetic patients in managing diabetic complications?(5)How do T2DM patients
understand the information received from the Endocrinology Clinic for managing diabetic
complications? (6) What personal constructs do type 2 diabetic patients apply in making sense of
information for managing diabetes? This study which is a qualitative study was premise within
the interpretive paradigm, with Bandura‟s Social Cognitive Theory as a theoretical framework
for the study. The case study approach was used to investigate the phenomena. Eighteen (18)
participants were purposively sampled for the research and semi structured interview was
utilized for the interrogation. Inductive approach was employed in analyzing the data collected
through semi structured interview of the participants, which yielded 360 open codes, from which
72 sub- categories and 49 categories emerged. The findings of the study revealed that thirteen
complications were experienced; myopathy (weakness of the body),osmatic symptoms (fluid
intake), diabetic retinopathy(eyes problem),diabetic neuropathy (leg problem), weight loss,
orthostatic hypotension (dizziness), Vasculopathy (blood vessels disorders), resting tachycardia
(irregular heart beat), dysglycaemic (fluctuation of blood sugar), diabetic foot ulcer (wound),
diabetic peripheral neuropathy (general body pains),diabetic boils, and erectile dysfunctions
(sexual performance problem). Information received to manage complications were on diabetic
diet, exercise, drug regimen, regulation of salt intake, need to promptly seek for help, need to
share information, fluid intake and energy boost. Meaning was created out of the information
through participant‟s personal experience, diabetic education, formal education and cognition.
Others sources of information includes; family members, friends, traditional herbal doctors,
neighbours, other diabetic patients, mass media and colleagues. Prior knowledge before
Endocrinology Clinic were about; mortality rate, dietary regulation, glycaemic control, wound
management, weight management, herbal medicine and physical exercise. Information received
is viewed as good, important, critical, helpful, necessity, unimportant; and confusing and
conflicting. Personal constructs applied in making sense includes; trust of medical practitioners,
trust of friends, believe, fear of complications, family support, prior knowledge, personal
judgement, formal education, and confusion. The study concluded that understanding how
information is understood is essential in coping with chronic diseases like T2DM. It
recommended that understanding of information will assist in developing of programme and
intervention to enhance management of chronic diseases.
Description
ATHESIS SUBMITTED TO THE SCHOOL OF POSTGRADUATE STUDIES,
AHMADU BELLO UNIVERSITY, ZARIA IN PARTIAL FULFILLMENT OF THE
REQUIREMENTS FOR THE AWARD OF THE DOCTOR OF PHILOSOPHY DEGREE
IN LIBRARY AND INFORMATION SCIENCE
DEPARTMENT OF LIBRARY AND INFORMATION SCIENCE,
FACULTY OF EDUCATION,
AHMADU BELLO UNIVERSITY,
ZARIA
Keywords
SENSE MAKING,, COMPREHENSIVE,, DIABETIC CARE INFORMATION,, TYPE 2 DIABETIC PATIENTS,, ENDOCRINOLOGY CLINIC,, ZARIA, NIGERIA