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Abstract

ABSTRACT This qualitative study focused on the enablers and deterrents of self-care behavior among Filipino adults with Type 2 Diabetes. Purposive sampling was used to recruit participants. Open-ended interviews with diabetic patients and their primary caregivers and self-care diaries were utilized as methods of data collection. Further, review of medical records was done.A “within-case analysis”, (triangulated data from diabetic patients and caregivers) and a “cross-case analysis” (comparing triangulated data among and across all cases) were undertaken, noting a specific pattern-match. Moreover, a constant comparison method with data and review extant literature was done.Different enablers and deterrents to self-care surfaced and included the following: Enablers constituted of the diabetic self as an enabler, help from others, the healthcare provider enabler, spirituality, and the environment. Deterrents, on the other hand, were elements or factors that prevented self-care behavior from occurring. The diabetic self as deterrent, customer displeasure, stress and fiscal constraints were deterrents to self-care behavior. Effective self-care behaviors will be seen if enablers dominate, thus good outcomes and successful management of the disease may be expected. Minimizing the effects of the deterrents, while maximizing and enhancing the aspect of enablers will undeniably foster effective self-care behavior among people with Type 2 Diabetes, highlighting the crucial role of the nurse in restoring balance using the nursing process.

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