Psychosocial Problems And Coping Mechanisms Of People With Diabetes A Case Of Armed Forces Comprehensive Specialized Hospital Addis Ababa

The main objective of the study was to explore the psychosocial problems and copingrnmechanisms of people with diabetes. Psychosocial problems are common in patients withrndiabetes. However, data on psychosocial issues affecting patients with diabetes in Ethiopia arernscarce. The study employed a qualitative research approach to answer the questions and achievernthe research objectives. Data were collected from 10 people with diabetes and 2 healthcarernproviders through in-depth interviews and from 8 care givers through focus group discussion. Asrnto the sampling technique, the study used purposive sampling for all. Data were analyzedrnfollowing thematic content analysis approach. Based on the data analysis, the following findingsrnwere obtained. During the first phase of living with diabetes, patients experienced diabetesrndiagnosis distress, fear, grief, anger and initial changes in activities, and conduct andrnpersonality changes. These problems continued during all phases of living with diabetes too. Andrneven though the patients are getting free medical service in Armed Forces ComprehensivernSpecialized Hospital, there were occasions medications are unavailable in times of diseasernprogression and on set of complications. Moreover, the hospital has no a trend of supportingrnpatients in association with psychosocial problems. Diabetes patients try to cope up theirrnproblems by using their own way. But there is common coping mechanism that most of thernrespondents’ use were seek spiritual help, doing exercise, accepting the illness and familyrnsupport are important coping mechanisms. Based on the findings above, this study concludedrnthat people with diabetes in Armed Forces Comprehensive Hospital have several psycho-socialrnproblems. The patients have not received services beyond clinical intervention. There is no asrnsuch significant communication between patients and health providers including care givers tornthe extent it can serve as instrument in alleviating psycho-social problems. So, there should bernpatient education. In addition, care providers should implement intervention to address the dayrntoday problems of living with diabetes-related to self-management behaviors, as well asrndiabetes-related family conflict

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