The diabetes does not hurt, it is not felt, but it is here! Metaphors from old people with type 2 diabetes in Portugal
Autor(a) principal: | |
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Data de Publicação: | 2019 |
Outros Autores: | , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://doi.org/10.14195/1647-8606_62-2_1 |
Resumo: | In Portugal more than a quarter of the population aged between 60 and 79 years old has type 2 diabetes mellitus. Therapeutic recommendations request patients’ self-management, since changes in lifestyles are involved. However, just around 20% of the patients are outstanding self-managers. Self-management is associated to beliefs, and metaphors are mechanisms that reflect the beliefs used by individuals to understand and take action. This study aims to analyse metaphors of type 2 older (≥ 65 years) diabetics, about “what is diabetes” (identity; causes; timeline and consequences), which is relevant for clinical practice. This qualitative and exploratory study uses the cognitive metaphor theory to uncover participants’ metaphors through semi-structured interviews. It comprises 17 participants that reported 84 metaphors. The interviews were submitted to content analysis. Main findings show that: identity is described by “illness that does not hurt, it is not felt, but it is here”; causes involve “I don’t know” and “I inherited it”; timeline and consequences portrayed as “slowly it destroys us”. These metaphors suggest that the old-aged type 2 diabetics experience the illness as something “mysterious”, which will most probably difficult their self-management. |
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The diabetes does not hurt, it is not felt, but it is here! Metaphors from old people with type 2 diabetes in PortugalA diabetes não dói, não se sente, mas está cá dentro! Metáforas de adultos idosos diabéticos tipo 2 portuguesesType 2 Diabetes; Senior; Metaphordiabetes tipo 2; adulto idoso; metáforaIn Portugal more than a quarter of the population aged between 60 and 79 years old has type 2 diabetes mellitus. Therapeutic recommendations request patients’ self-management, since changes in lifestyles are involved. However, just around 20% of the patients are outstanding self-managers. Self-management is associated to beliefs, and metaphors are mechanisms that reflect the beliefs used by individuals to understand and take action. This study aims to analyse metaphors of type 2 older (≥ 65 years) diabetics, about “what is diabetes” (identity; causes; timeline and consequences), which is relevant for clinical practice. This qualitative and exploratory study uses the cognitive metaphor theory to uncover participants’ metaphors through semi-structured interviews. It comprises 17 participants that reported 84 metaphors. The interviews were submitted to content analysis. Main findings show that: identity is described by “illness that does not hurt, it is not felt, but it is here”; causes involve “I don’t know” and “I inherited it”; timeline and consequences portrayed as “slowly it destroys us”. These metaphors suggest that the old-aged type 2 diabetics experience the illness as something “mysterious”, which will most probably difficult their self-management.Em Portugal mais de um quarto da população entre os 60 e os 79 anos tem diabetes mellitus tipo 2. As recomendações terapêuticas exigem autogestão pelos pacientes, pois envolvem mudanças de estilo de vida. Contudo, apenas cerca de 20% dos pacientes são ótimos autogestores. A autogestão está associada a crenças, sendo as metáforas mecanismos que refletem as crenças usadas pelos indivíduos para compreender e agir. O objetivo deste estudo é analisar as metáforas de adultos idosos (≥ 65 anos) diabéticos tipo 2, sobre “o que é a diabetes” (identidade; causa; evolução e consequências), relevante pelas implicações para a prática clínica, pois revela metáforas que poderão influenciar a autogestão. Este estudo qualitativo e exploratório recorre à teoria cognitiva da metáfora, explorando metáforas dos participantes através de entrevistas semiestruturadas. Compreende 17 participantes que relataram 84 metáforas. As entrevistas foram submetidas a análise de conteúdo. Os principais resultados indicam: identidade descrita por “doença que não dói, não se sente, mas está cá dentro”; causas envolvem “não sei como se apanha” e “herdei esta doença”; evolução e consequências associam-se a “lentamente vai dando cabo da pessoa”. Estas metáforas sugerem que os adultos idosos diabéticos tipo 2 vivem a doença como algo “misterioso”, o que poderá dificultar o seu envolvimento na autogestão.Imprensa da Universidade de Coimbra2019-12-18info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttps://doi.org/10.14195/1647-8606_62-2_1https://doi.org/10.14195/1647-8606_62-2_1Psychologica; Vol. 62 No. 2 (2019); 7-21Psychologica; Vol. 62 N.º 2 (2019); 7-211647-86060871-465710.14195/1647-8606_62-2reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPporhttps://impactum-journals.uc.pt/psychologica/article/view/1647-8606_62-2_1https://impactum-journals.uc.pt/psychologica/article/view/1647-8606_62-2_1/5975Direitos de Autor (c) 2019 Psychologicainfo:eu-repo/semantics/openAccessMendes, AlvaroTravieso, Carmen ElisaSousa, Liliana2023-05-31T13:59:45Zoai:impactum-journals.uc.pt:article/7490Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T17:58:19.177409Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
The diabetes does not hurt, it is not felt, but it is here! Metaphors from old people with type 2 diabetes in Portugal A diabetes não dói, não se sente, mas está cá dentro! Metáforas de adultos idosos diabéticos tipo 2 portugueses |
title |
The diabetes does not hurt, it is not felt, but it is here! Metaphors from old people with type 2 diabetes in Portugal |
spellingShingle |
The diabetes does not hurt, it is not felt, but it is here! Metaphors from old people with type 2 diabetes in Portugal Mendes, Alvaro Type 2 Diabetes; Senior; Metaphor diabetes tipo 2; adulto idoso; metáfora |
title_short |
The diabetes does not hurt, it is not felt, but it is here! Metaphors from old people with type 2 diabetes in Portugal |
title_full |
The diabetes does not hurt, it is not felt, but it is here! Metaphors from old people with type 2 diabetes in Portugal |
title_fullStr |
The diabetes does not hurt, it is not felt, but it is here! Metaphors from old people with type 2 diabetes in Portugal |
title_full_unstemmed |
The diabetes does not hurt, it is not felt, but it is here! Metaphors from old people with type 2 diabetes in Portugal |
title_sort |
The diabetes does not hurt, it is not felt, but it is here! Metaphors from old people with type 2 diabetes in Portugal |
author |
Mendes, Alvaro |
author_facet |
Mendes, Alvaro Travieso, Carmen Elisa Sousa, Liliana |
author_role |
author |
author2 |
Travieso, Carmen Elisa Sousa, Liliana |
author2_role |
author author |
dc.contributor.author.fl_str_mv |
Mendes, Alvaro Travieso, Carmen Elisa Sousa, Liliana |
dc.subject.por.fl_str_mv |
Type 2 Diabetes; Senior; Metaphor diabetes tipo 2; adulto idoso; metáfora |
topic |
Type 2 Diabetes; Senior; Metaphor diabetes tipo 2; adulto idoso; metáfora |
description |
In Portugal more than a quarter of the population aged between 60 and 79 years old has type 2 diabetes mellitus. Therapeutic recommendations request patients’ self-management, since changes in lifestyles are involved. However, just around 20% of the patients are outstanding self-managers. Self-management is associated to beliefs, and metaphors are mechanisms that reflect the beliefs used by individuals to understand and take action. This study aims to analyse metaphors of type 2 older (≥ 65 years) diabetics, about “what is diabetes” (identity; causes; timeline and consequences), which is relevant for clinical practice. This qualitative and exploratory study uses the cognitive metaphor theory to uncover participants’ metaphors through semi-structured interviews. It comprises 17 participants that reported 84 metaphors. The interviews were submitted to content analysis. Main findings show that: identity is described by “illness that does not hurt, it is not felt, but it is here”; causes involve “I don’t know” and “I inherited it”; timeline and consequences portrayed as “slowly it destroys us”. These metaphors suggest that the old-aged type 2 diabetics experience the illness as something “mysterious”, which will most probably difficult their self-management. |
publishDate |
2019 |
dc.date.none.fl_str_mv |
2019-12-18 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://doi.org/10.14195/1647-8606_62-2_1 https://doi.org/10.14195/1647-8606_62-2_1 |
url |
https://doi.org/10.14195/1647-8606_62-2_1 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://impactum-journals.uc.pt/psychologica/article/view/1647-8606_62-2_1 https://impactum-journals.uc.pt/psychologica/article/view/1647-8606_62-2_1/5975 |
dc.rights.driver.fl_str_mv |
Direitos de Autor (c) 2019 Psychologica info:eu-repo/semantics/openAccess |
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Direitos de Autor (c) 2019 Psychologica |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Imprensa da Universidade de Coimbra |
publisher.none.fl_str_mv |
Imprensa da Universidade de Coimbra |
dc.source.none.fl_str_mv |
Psychologica; Vol. 62 No. 2 (2019); 7-21 Psychologica; Vol. 62 N.º 2 (2019); 7-21 1647-8606 0871-4657 10.14195/1647-8606_62-2 reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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RCAAP |
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RCAAP |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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