Saunders Tina
J Gerontol Nurs. 2019 Mar 1;45(3):43-54. doi: 10.3928/00989134-20190211-05.
Type 2 diabetes is a prevalent chronic health condition more frequently affecting adults ages 65 and older. Furthermore, these individuals tend to have more type 2 diabetes-associated complications, compared with younger individuals with diabetes, and face unique challenges throughout the self-management process. Despite many studies and reviews about diabetes self-management, few researchers focus specifically on older adults. Of particular importance is the need to understand self-management challenges through the patient's lens. Therefore, the purpose of the current review is to examine and summarize the qualitative literature concerning type 2 diabetes self-management barriers in older adults. Following critical appraisal of literature published from 2007-2018, 10 articles were reviewed and content analysis performed. Four themes emerged: Lack of Knowledge and Understanding, Self-Management Implementation Challenges, Culture and Language Barriers, and Health Care Providers as a Perceived Barrier. The state of the qualitative science, implications for nursing practice, and recommendations for future research are discussed. [Journal of Gerontological Nursing, 45(3), 43-54.].
2型糖尿病是一种常见的慢性健康状况，更频繁地影响65岁及以上的成年人。此外，与年轻的糖尿病患者相比，这些人往往有更多与2型糖尿病相关的并发症，并且在自我管理过程中面临独特的挑战。尽管有许多关于糖尿病自我管理的研究和综述，但很少有研究人员专门关注老年人。特别重要的是需要从患者的角度理解自我管理的挑战。因此，本综述的目的是检查和总结有关老年人2型糖尿病自我管理障碍的定性文献。在对2007年至2018年发表的文献进行严格评估后，对10篇文章进行了综述并进行了内容分析。出现了四个主题：知识和理解不足、自我管理实施挑战、文化和语言障碍以及医疗保健提供者被视为障碍。讨论了定性科学的现状、对护理实践的影响以及对未来研究的建议。[《老年护理杂志》，45(3)，43 - 54。]
