Northwood Melissa, Ploeg Jenny, Markle-Reid Maureen, Sherifali Diana
McMaster University, Hamilton, ON, Canada.
Hamilton Health Sciences, ON, Canada.
Glob Qual Nurs Res. 2021 Feb 11;8:2333393621993452. doi: 10.1177/2333393621993452. eCollection 2021 Jan-Dec.
Over 40% of older adults with diabetes receiving home-care services experience urinary incontinence. However, experiential knowledge is lacking on how these older adults live with diabetes and incontinence. Interpretive description methodology was used to explore the experiences of 18 older adults with diabetes and urinary incontinence receiving home-care services in Ontario, Canada. Five themes emerged from the findings: (a) enduring urinary incontinence: "patch it in pads"; (b) struggling to manage diabetes, incontinence, and multiple chronic conditions: "a balancing act"; (c) covering the costs of care: "I can't afford it"; (d) counting on a caregiver: "he does everything"; and (e) home-care services not meeting my needs: "it's not individual." These findings suggest that living with urinary incontinence and diabetes is a complex and challenging experience. This evidence could inform the provision of comprehensive home care to support self-care for this population.
超过40%接受家庭护理服务的老年糖尿病患者存在尿失禁问题。然而，对于这些患有糖尿病和尿失禁的老年人如何生活，尚缺乏经验性认识。采用诠释性描述方法，对加拿大安大略省18名接受家庭护理服务的患有糖尿病和尿失禁的老年人的经历进行了探索。研究结果出现了五个主题：(a) 忍受尿失禁：“用尿垫解决”；(b) 努力应对糖尿病、尿失禁和多种慢性病：“一场平衡的较量”；(c) 支付护理费用：“我负担不起”；(d) 依赖照料者：“他什么都做”；以及(e) 家庭护理服务无法满足我的需求：“缺乏个性化”。这些研究结果表明，患有尿失禁和糖尿病的生活是复杂且具有挑战性的经历。这一证据可为提供全面的家庭护理以支持该人群的自我护理提供参考。
