老年居家糖尿病患者低血糖症——范围综述。
Hypoglycaemia in older home-dwelling people with diabetes- a scoping review.
机构信息
Faculty of Health and Social Sciences, Institute of Health and Caring Sciences, Western Norway University of Applied Sciences, Stord, Norway.
Faculty of Health and Social Sciences, Institute of Health and Caring Sciences, Western Norway University of Applied Sciences, Bergen, Norway.
出版信息
BMC Geriatr. 2021 Jan 7;21(1):20. doi: 10.1186/s12877-020-01961-6.
BACKGROUND
Hypoglycaemia is associated with cognitive and functional decline in older people with diabetes. Identification of individuals at risk and prevention of hypoglycaemia is therefore an important task in the management of diabetes in older home-dwelling individuals. The purpose of this scoping review was to map the literature on hypoglycaemia in home-dwelling older people with diabetes.
METHODS
This scoping review included original research articles on hypoglycaemia in older (≥ 65 years) individuals with diabetes from developed countries. A broad search of the databases Cinahl, Embase and Medline was performed in July 2018. The report of the scoping review was conducted in accordance with the PRISMA Extension for Scoping Reviews.
RESULTS
Our database search identified 577 articles of which 23 were eligible for inclusion. The identified literature was within four areas: 1) incidence of hypoglycaemia in older home-dwelling people with diabetes (11/23 articles), 2) risk factors of hypoglycaemia (9/23), 3) diabetes knowledge and self-management (6/23) and 4) consequences of hypoglycaemia for health care use (6/23). The majority of the literature focused on severe hypoglycaemia and the emergency situation. The literature on diabetes knowledge and management related to preventing adverse events relevant to older home-dwellers, was limited. We found no literature on long-term consequences of hypoglycaemia for the use of home health care services and the older persons' ability to remain home-dwelling.
CONCLUSIONS
We identified a lack of studies on prevention and management of hypoglycaemia in the older individuals' homes. Such knowledge is of utmost importance in the current situation where most western countries' governmental policies aim to treat and manage complex health conditions in the patient's home. Future studies addressing hypoglycaemia in older individuals with diabetes are needed in order to tailor interventions aiming to enable them to remain home-dwelling as long as possible.
背景
低血糖与老年糖尿病患者的认知和功能下降有关。因此，识别高危人群并预防低血糖是老年居家个体糖尿病管理的重要任务。本综述的目的是绘制有关老年居家糖尿病患者低血糖的文献图谱。
方法
本综述纳入了来自发达国家的关于老年（≥65 岁）糖尿病患者低血糖的原始研究文章。2018 年 7 月，对 Cinahl、Embase 和 Medline 数据库进行了广泛搜索。该综述报告符合扩展的 PRISMA 用于范围综述。
结果
我们的数据库搜索共确定了 577 篇文章，其中 23 篇符合纳入标准。确定的文献主要集中在以下四个领域：1）老年居家糖尿病患者低血糖的发生率（23 篇文章中的 11 篇），2）低血糖的危险因素（23 篇文章中的 9 篇），3）糖尿病知识和自我管理（23 篇文章中的 6 篇），4）低血糖对医疗保健使用的影响（23 篇文章中的 6 篇）。大多数文献都集中在严重低血糖和紧急情况上。关于与预防与老年居家者相关的不良事件有关的糖尿病知识和管理的文献有限。我们没有发现关于低血糖对家庭医疗保健服务使用和老年人居家能力的长期影响的文献。
结论
我们发现缺乏关于老年个体家中低血糖预防和管理的研究。在大多数西方国家政府政策旨在在患者家中治疗和管理复杂健康状况的当前情况下，这种知识至关重要。需要进一步研究老年糖尿病患者的低血糖问题，以便制定干预措施，使他们能够尽可能长时间地居家生活。
Zotero 插件