Living with chronic obstructive pulmonary disease or type 2 diabetes in Greenland – a qualitative interpretive description study

ABSTRACTNon-communicable diseases such as chronic obstructive pulmonary disease (COPD) and type 2 diabetes mellitus (T2D) represent major challenges for health systems all over the world. In an interview study, we explored patient experiences and perspectives of being diagnosed and living with COPD...

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Bibliographic Details
Published in:International Journal of Circumpolar Health
Main Authors: Maja Hykkelbjerg Nielsen, Annesofie Lunde Jensen, Michael Lynge Pedersen, Lene Seibæk
Format: Article in Journal/Newspaper
Language:English
Published: Taylor & Francis Group 1481
Subjects:
Online Access:https://doi.org/10.1080/22423982.2023.2296706
https://doaj.org/article/15ba8c48f5a44161a4f4161dd89c1f35
Description
Summary:ABSTRACTNon-communicable diseases such as chronic obstructive pulmonary disease (COPD) and type 2 diabetes mellitus (T2D) represent major challenges for health systems all over the world. In an interview study, we explored patient experiences and perspectives of being diagnosed and living with COPD or T2D in Greenland. Participants (n = 24) were selected by purposeful sampling and recruited by phone. We conducted individual semi-structured interviews at the National Hospital in Nuuk and the four regional hospitals. Interviews were audio-recorded, transcribed verbatim, and analysed using interpretive description. Three themes emerged: shock and shame on receiving the diagnosis, coping with a changed life, and varying needs for care and communication. We found that being diagnosed with COPD or T2D required a rapid change in the participants’ everyday lives and lifestyle behaviours. Some self-managed their disease well and were able to transfer their knowledge and integrate it into their daily lives, while others struggled to make lifestyle changes. Additionally, living with COPD or T2D could be related to silence and shame. The findings contribute to a better understanding of living with COPD or T2D in the Arctic region and the development of future, culturally-adapted patient education initiatives.