Self-Care Experiences of Empty-Nest Elderly Living With Type 2 Diabetes Mellitus: A Qualitative Study From China

Lv, Xiaoyan; Yu, Doris S.F.; Cao, Yingjuan; Xia, Jinghua

doi:10.3389/fendo.2021.745145

Cited by 8 publications

(4 citation statements)

References 52 publications

(58 reference statements)

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“…The vital signs measurement in the community in China is free. Because the majority of disabled elderly are physically disabled [10] and suffer from chronic diseases such as hypertension and diabetes mellitus, with the low ability of monitoring and dealing with an abnormal blood glucose level, [11] taking vital signs may assist the elderly in monitoring their disease. Because more people would like to monitor their physical health status through vital signs, this implies that the disabled elderly would like to pay more attention to their health status.…”

Section: Discussionmentioning

confidence: 99%

Needs and influence factors of medical-nursing-pension of disabled elderly

Qin,

Yao,

et al. 2023

Medicine

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As the population ages, the incidence of disabled elderly persons increases, and the need for medical-nursing-pension services among disabled senior persons increases. The purpose of this study is to determine the needs and affecting factors of disabled elderly living in community homes in Nanning, Guangxi, China. The study utilized the descriptive comparative cross-sectional study. Stratified random sampling was utilized, based on inclusion and exclusion criteria, a total of 168 disabled elderly were randomly selected and investigated using a self-designed questionnaire which included basic nursing services domain, professional nursing services domain, rehabilitative nursing services domain, living nursing services domain, and spiritual nursing services domain. The t test, one-way ANOVA, and multivariate logistic regression were used to determine the influencing factors of medical-nursing-pension demands for community-dwelling disabled elderly. Majority of impaired seniors have a moderate to high-level of demand for medical-nursing-pension services. Age (t = 2.369, 95% confidence interval [CI]: 0.673–7.414), educational level (t = −16.946, 95% CI: −31.247 to −24.726), monthly income (t = −16.273, 95% CI: −22.104 to −17.320), economic source (t = 8.891, 95% CI: 16.850–26.470), time spent disabled (t = −11.151, 95% CI: −31.845 to −22.264), living with children (t = 10.852, 95% CI: 24.491–35.521), and medical insurance participation (t = 4.556, 95% CI: 9.032–22.848) all influence the demand for medical-nursing-pension services for disabled seniors in the community (P = .05). Majority of community-dwelling impaired seniors have a moderate to high demand for medical-nursing-pension services. Relevant departments and community nurses should pay increased attention to the elderly who are older, have a low educational level, a low monthly income, have an economic source of pension from their own, have been disabled for long period of time, are single, and do not have children, to improve the health care system for disabled elderly by implementing more personalized home visits in medical-nursing-pension on health education about oxygen inhalation and wound dressing.

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Section: Discussionmentioning

confidence: 99%

Needs and influence factors of medical-nursing-pension of disabled elderly

Qin,

Yao,

et al. 2023

Medicine

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“…23 However, the effect of drugs on blood glucose control is straightforward. 24 Patients consider medication as a way to escape lifestyle changes, helping them control their blood sugar and delay disease progression without changing their lifestyle. 36 Drugs are patients' main focus for diabetes treatment, reflecting reluctance to make long-term lifestyle changes for diabetes management.…”

Section: Dovepressmentioning

confidence: 99%

A Mixed Methods Assessment of Self- Management Needs and Preferences of People with Type 2 Diabetes Mellitus in China

Hu¹,

Jin²,

Li³

et al. 2023

PPA

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Background: Consistent and effective self-management is a major challenge for people with diabetes and long-term effects can be difficult to sustain despite the many interventions. Interventions often fail to take patients' perceptions of self-management into account from their perspective. Exploring the needs preferences and the influencing factors of self-management in patients can improve the effectiveness of self-management. Methods: This study used a mixed research approach, exploring patient needs and preferences through web crawl methods and using qualitative interviews to explore the logic of preferences. 1605 data were obtained from 4 online health communities through web crawlers. Data were coded using grounded theory to analyze self-management needs. The codes were also coded for frequency statistics and ranked to explain the self-management preferences. The second phase explained the logic of the ranked distribution of preferences through one-on-one interviews with 22 patients. Results: This study summarized six self-management needs of people with diabetes through web crawler data, among which medication management and conflict between disease and daily life were the most important concerns of patients. The reasons why patients are particularly concerned about these two needs were explored through qualitative interviews, and it was found that patients' concerns about medication were mainly due to the following three aspects: the effect of drugs is direct and obvious, medication use makes life less complicated, and progressive side effects. The patients' concerns about the conflict between disease and daily life are often caused by the following three aspects: diabetes impacts social roles, disease complicates life, and reducing the impact of the disease on life. Conclusion:The self-management needs of Chinese diabetics have six themes. Medication management, conflict between disease and daily life, diet, diabetes knowledge, blood glucose monitoring and exerciseIn order of frequency of mention and possible preference: medication management, conflict between disease and daily life were the most frequent needs, while diet, knowledge about diabetes, blood glucose monitoring and exercise were their least frequent needs.Understanding the individual's perception and understanding of diabetes self-management and the expression of the patient's daily life situations can guide the medical team to optimize collaboration on personalized care plans.

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“…The fourteen studies were published between 1991 and 2021 and included nine qualitative and five quantitative research designs. Qualitative studies were undertaken in Australia [37][38][39], Malaysia [40,41], Ethiopia [42], China [43], New Zealand [44] and Iraq [45]; and the quantitative research was conducted in Germany [46], United Kingdom [47], United States of America [48], France [49], and the Netherlands [50]. Qualitative studies included data from 71 participants using in-depth and semi-structured interviews.…”

Section: Study Characteristicsmentioning

confidence: 99%