Lived experiences of diabetic outpatients attending clinics in rural areas of Limpopo province in South Africa

• Published in: Health SA = SA Gesondheid Vol. 28; no. 1; p. 1726
• Main Authors: Mphasha, Mabitsela H., Mothiba, Tebogo M., Skaal, Linda
• Format: Journal Article
• Language: English
• Published: South Africa AOSIS 2023; African Online Scientific Information Systems (Pty) Ltd t/a AOSIS; AOSIS (Pty) Ltd; AOSIS Publishing on behalf of University of Johannesburg
• Subjects: Chronic illnesses; Clinics; Data collection; Diabetes; Diabetics; diagnosis; Experiences; Health aspects; Health Care Sciences & Services; Health Policy & Services; Interviews; Living; Medical diagnosis; Mental health; Original Research; Patients; Pilot projects; Research methodology; Rural areas; Sexual disorders; Social aspects; Type 2 diabetes; Womens health; South Africa; Sub-Saharan Africa; diagnosis; living; diabetes; experiences; patients
• ISSN: 1025-9848; 2071-9736; 2071-9736
• DOI: 10.4102/hsag.v28i0.1726

Background Prevalence of diabetes mellitus is increasing in South Africa (SA), with many people unknowingly living with undiagnosed diabetes. Living with a long-term illness like diabetes significantly impacts every aspect of one’s life. It is essential to understand the lived experience of patients to ensure better management and intervention.Aim To explore the lived experiences of diabetic outpatients.Setting Clinics of Senwabarwana, in Blouberg Local Municipality of the Capricorn District Municipality in Limpopo province of SA.Method Qualitative phenomenological exploratory descriptive study design was adopted to collect data from 17 diabetic patients. Purposive sampling was utilised to choose respondents. Data were collected through one-to-one interviews using voice recorders and field notes for nonverbal cues. Data were analysed using the eight steps of Tesch’s inductive, descriptive and open coding technique.Results Respondents detailed difficulty disclosing their diagnosis due to feelings of shame. They also experienced stress and an inability to perform duties they used to perform before diagnosis. Male respondents detailed their experiences of sexual problems and a fear of losing their wives to other men as a result.Conclusion Patients living with diabetes are unable to perform some tasks that they were able to perform before diagnosis. This could be attributed to poor dietary choices and a lack of social support, leading to patients missing critical elements of diabetes care. Quality of life of patients who are unable to perform their daily tasks should be assessed, with appropriate interventions introduced to curb further deterioration. Male diabetes patients experience sexual dysfunction and a fear of losing their wives, which exacerbates their stress.Contribution This study encourages the adoption of a family-centred approach, partnering with family members in the care of diabetic outpatients since most of the care takes place at home. Further studies are also recommended to design interventions which would address the experiences of patients for better outcomes.