Hennessy C H, John R, Anderson L A
The Health Care and Aging Studies Branch, Centers for Disease Control and Prevention, Atlanta, Georgia (Drs Hennessy and Anderson)
Northeast Louisiana University, Monroe, Louisiana (Dr John)
Diabetes Educ. 1999 Sep-Oct;25(5):747-54. doi: 10.1177/014572179902500507.
This qualitative study investigated diabetes care management among family members of American Indian elders with self-care limitations. Focus groups were used to examine the reasons for and content of diabetes care management, the challenges faced, and the support services needed.
Five focus groups were conducted with family caregivers from six tribes. Caregivers' responses related to care management were identified and categorized into themes.
Participants reported that they provided assistance with a wide range of diabetes care tasks (e.g., skin and wound care, in-home dialysis) depending on the elder's level of impairment. Caregivers described three major challenges related to diabetes care management: (1) anxiety about in-home care, (2) coping with psychosocial issues, and (3) decision making and communication problems with other family members. They emphasized the importance of developing a care routine for successful diabetes management.
Based on these findings, we suggest areas where diabetes educators can assist American Indian family caregivers in meeting the needs of frail elders in the home.
本定性研究调查了自理能力受限的美国印第安老年人家庭成员的糖尿病护理管理情况。采用焦点小组来探究糖尿病护理管理的原因和内容、面临的挑战以及所需的支持服务。
与来自六个部落的家庭护理人员进行了五次焦点小组讨论。确定了护理人员与护理管理相关的回答，并将其归类为主题。
参与者报告称，他们根据老年人的受损程度，在广泛的糖尿病护理任务（如皮肤和伤口护理、家庭透析）方面提供了帮助。护理人员描述了与糖尿病护理管理相关的三大挑战：（1）对家庭护理的焦虑，（2）应对心理社会问题，（3）与其他家庭成员的决策和沟通问题。他们强调了制定护理常规对成功进行糖尿病管理的重要性。
基于这些发现，我们提出了糖尿病教育工作者可以协助美国印第安家庭护理人员满足家中体弱老年人需求的领域。
