RNQualitativeNursing open2023

Health equilibrium in Korean adults with type 2 diabetes mellitus: A hybrid concept analysis.

Kawoun Seo, Youngshin Song

PMID 36655539

WHAT IT FOUND

Korean adults with diabetes described health equilibrium as prioritising health while keeping routines, relationships, self-care and psychological stability despite stigma.

The study gives concepts, not evidence that any intervention works.

Key findings

01Health equilibrium was defined as maintaining cognitive, social, behavioural and psychological equilibrium while committed to health, despite prejudice and self-care experience.

02The analysis produced four domains, 12 attributes and 29 indicators.

03Ten adults with type 2 diabetes in South Korea were interviewed about their experiences.

STILL TO COME

How it was doneWhat they foundWhat it means for RNs

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What it does not show

The study interviewed only ten adults, and the participants were selected to show characteristics of health equilibrium and were actively involved in self-care. That means patients who struggle with self-care, disclosure or social withdrawal may not be represented. The work was done in South Korea with adults who have diabetes, so cultural transferability is limited. The concept was not tested as an outcome, and no measurement instrument was developed or validated.

Declared interests

The authors reported no conflicts of interest. The work was supported by a government grant from the National Research Foundation of Korea.

The easy way to misread this

Do not treat health equilibrium as a validated scale or assume that patients who are committed to health will have better diabetes control. This was a concept analysis with selected patients who already showed equilibrium-like characteristics, so it describes experiences and attributes, not tested outcomes.

Read it on PubMed →