1 Department of Public Health - Department of Science in Nursing, Department of Public Health, Health, Aarhus University2 Odense Universitetshospital3 Department of Clinical Medicine - Department of Paediatrics, Department of Clinical Medicine, Health, Aarhus University4 Department of Clinical Medicine - Department of Paediatrics, Department of Clinical Medicine, Health, Aarhus University
Background: Insulin pump therapy is an increasing field. Studies have documented a clinical relevant decrease in HbA1c, especially among adults type 1 diabetes patients with initial high HbA1c. However, only few studies investigate the lived experience with and the meaning of the insulin pump therapy in adulthood. Aim: The study explore the lived experiences and the meaning of insulin pump therapy in adulthood. Method: The study is based on a phenomenological – hermeneutic approach. Four adult type 1 diabetes patients were interviewed about their insulin pump therapy. The interviews were based on a semi-structured interview guide inspired by Van Manens four fundamental existentials. The interviews were analyzed according to 3 interpretation contexts as described by Kvale and Brinkmann. The first step paraphrases what the patients say. The second step analyses critically what patients say according to common sense. The third step brings in a theoretical understanding. The findings from the analyze were discussed before we reached a conclusion. Results: The preliminary findings suggested that insulin pump therapy can lead the patients towards an increased comprehensibility, manageability and meaningfulness in relation to diabetes self-care and self-management. The bolus guide, as a rather new feature, seem to play an important role. Conclusion: Based on The Shifting Perspectives Model of Chronic Illness, we concluded that a well established insulin pump therapy lead to changing the patients perspective on diabetes from illness to wellbeing as a priority, without losing focus on the disease. The bolus guide helps the patients towards the experience of control which is important to wellbeing. Further, health professionals play a role in changing patient’s perspective. In coming research there is a need for looking further into patients use and perception of the bolus guide.
Insulin pump therapy, adult, bolus guide, patient perspective, well being.