Department of Nursing, Chang Gung University of Science and Technology, Taoyuan, Taiwan; Chang Gung Memorial Hospital, Taoyuan, Taiwan.
Department of Nursing, Chang Gung University of Science and Technology, Taoyuan, Taiwan.
Asian Nurs Res (Korean Soc Nurs Sci). 2019 Aug;13(3):209-215. doi: 10.1016/j.anr.2019.06.002. Epub 2019 Jun 27.
Diabetes mellitus has been either the fourth or fifth leading cause of death among Taiwanese adults during 1995-2015. Older adults with diabetes are at higher risk of developing diabetic macro-vascular and micro-vascular complications. The purpose of this study explored the self-management experiences of middle-aged and older adults with diabetes through a focus group.
Purposive sampling was used to recruit patients with diabetes from the metabolic outpatient clinics of medical centers and regional hospitals in Taiwan. Two focus groups, comprising a total of 23 participants, were employed to collect data, and group discussions were held a total of four times in an education room that was distant from clinical areas.
Three themes were generated from analysis of the collected data: (1) "listening to the voice of the body and observing physical changes," (2) "re-recognizing diabetes and challenges," and (3) "self-management implementation dilemmas." This study provided new insights into the experiences of middle-aged and older adults in Taiwan regarding their self-management of diabetes.
Healthcare teams should be involved in the self-management education of patients with diabetes as early as possible to reduce patients' anxiety and to develop more patient-centered, culture-sensitive clinical skills. In addition to monitoring patients' self-management, healthcare professor should pay more attention to patients' successful adaptation to and coexistence with the disease.
在 1995 年至 2015 年期间，糖尿病一直是台湾成年人的第四或第五大死因。患有糖尿病的老年人患糖尿病大血管和微血管并发症的风险更高。本研究通过焦点小组探讨了中年和老年糖尿病患者的自我管理经验。
采用目的抽样法，从台湾医学中心和区域医院的代谢门诊招募糖尿病患者。使用两个焦点小组，共 23 名参与者收集数据，在远离临床区域的教育室总共举行了 4 次小组讨论。
从收集的数据中分析出了三个主题：（1）“倾听身体的声音并观察身体的变化”，（2）“重新认识糖尿病和挑战”，以及（3）“自我管理实施困境”。本研究为台湾中年和老年糖尿病患者的自我管理经验提供了新的见解。
医疗保健团队应尽早参与糖尿病患者的自我管理教育，以减轻患者的焦虑，并培养更以患者为中心、更具文化敏感性的临床技能。除了监测患者的自我管理外，医疗保健教授还应更加关注患者对疾病的成功适应和共存。
