Ovayolu Özlem, Ovayolu Nimet, Doğru Ayşe, Özkaya Mesut
Faculty of Health Science, Gaziantep University, Gaziantep, Turkey (Drs Ö. Ovayolu and N. Ovayolu); Gaziantep University Medical Faculty Hospital, Gaziantep, Turkey (Ms Doğru); and Department of Endocrinology and Metabolic Diseases, Gaziantep University, School of Medicine, Gaziantep, Turkey (Dr Özkaya).
Holist Nurs Pract. 2015 Sep-Oct;29(5):272-9. doi: 10.1097/HNP.0000000000000102.
This study was conducted with the goal of evaluating the challenge of diabetes in elderly individuals and affecting factors. This descriptive study was conducted with 88 diabetic patients 65 years of age or older who were admitted to the endocrinology and metabolism disorders outpatient clinic data of the study collected by using a questionnaire prepared by the researchers and the Elderly Diabetes Burden Scale. Total score of the scale varies between 19 and 92 points. While a higher score indicates a higher burden a lower score indicates a lower burden, data were analyzed by using Student t test, 1-way analysis of variance, Mann-Whitney U test, and Kruskal-Wallis test. Subscale and total mean scores of patients were as follows: 9.4 ± 3.2 for symptom burden; 12.4 ± 3.4 for social burden; 11.4 ± 3.3 for burden by dietary restrictions; 11.9 ± 3.7 for burden of worry about diabetes; 4.3 ± 1.3 for burden from treatment dissatisfaction; 9.4 ± 4.6 for burden by oral antidiabetic drugs or insulin; and 58.5 ± 9.6 for total diabetes burden score. Diabetes burden was found to be higher for patients who were at an advanced age, single, female, had a lower income, receiving oral antidiabetic or insulin treatment, and had diabetes duration of 6 to 11 years, a concomitant chronic condition or a diabetic person among first-degree relatives and who did not come for regular follow-up visits, had no assistance for their care, and who stated a poor quality of life and treatment compliance. Elderly diabetic patients were found to have a high total Elderly Diabetes Burden Scale score, and the highest scores were observed for the subscales of burden by dietary restrictions, social burden, and burden of worry about diabetes. Thus, it could be recommended to perform appropriate nursing interventions in order to assess and reduce diabetes challenge during planning of necessary treatment and care in elderly diabetic patients.
本研究旨在评估老年糖尿病患者面临的挑战及其影响因素。本描述性研究对88名65岁及以上的糖尿病患者进行，这些患者就诊于内分泌与代谢紊乱门诊。研究数据通过使用研究人员编制的问卷和老年糖尿病负担量表收集。该量表总分在19至92分之间，分数越高表明负担越重，分数越低表明负担越轻。数据采用学生t检验、单因素方差分析、曼-惠特尼U检验和克鲁斯卡尔-沃利斯检验进行分析。患者的分量表和总分均值如下：症状负担为9.4±3.2；社会负担为12.4±3.4；饮食限制负担为11.4±3.3；糖尿病担忧负担为11.9±3.7；治疗不满负担为4.3±1.3；口服降糖药或胰岛素负担为9.4±4.6；糖尿病总负担评分为58.5±9.6。研究发现，年龄较大、单身、女性、收入较低、接受口服降糖药或胰岛素治疗、糖尿病病程为6至11年、有合并慢性病或一级亲属中有糖尿病患者、未定期复诊、无人照顾且生活质量和治疗依从性较差的患者，糖尿病负担更高。老年糖尿病患者的老年糖尿病负担量表总分较高，其中饮食限制负担、社会负担和糖尿病担忧负担分量表得分最高。因此，建议在为老年糖尿病患者制定必要的治疗和护理计划时，进行适当的护理干预，以评估和减轻糖尿病带来的挑战。
