“…Before diagnosis, many patients are often unaware of the health problems that have occurred because prediabetes has no obvious clinical symptoms (Kuo et al, 2014; Schmidt et al, 2022; Strachan et al, 2018). After diagnosis, the sudden identity change process may cause the conflict between the old and new roles, making it difficult for patients to accept the results and even questioning the diagnosis (Andersson et al, 2008; Howells et al, 2021; Li et al, 2015; Schmidt et al, 2022; van Wissen & Blanchard, 2021). I couldn't believe that I actually had this, because I'm slim, I wasn't overweight; I thought it was only fat people that got diabetes, and people who drank a lot.…”
BackgroundDiabetes has become a global public health problem. Strengthening the self‐management ability of people with prediabetes plays an important role in preventing the occurrence and development of type 2 diabetes. The aim of this study is to synthesise the self‐management experiences and perceptions of people with prediabetes, which can contribute to the development of self‐management programs.MethodsThis review adheres to the ENTREQ Guide. Evidence‐based medicine database (JBI and Cochrane) and original literature database (PubMed, Medline, EMbase, Web of Science, Wanfang, CNKI and VIP) were searched up to 31 May 2022. Both Chinese and English literature of qualitative research on self‐management experiences and perceptions of prediabetic patients were included. The quality of the included studies was evaluated, and the data were synthesised and analysed by thematic synthesis method.ResultsA total of 23 primary studies containing 504 participants were included. After repeated reading and coding of the literature, three analytical themes were finally identified: coping with role management, success and failure in medical management, seeking and perceiving support.ConclusionRole management for people with prediabetes needs more attention. Healthcare providers should identify problems from patients' self‐management experiences and improve professional skills to assist program modifications. Integrating the self‐management program into community activities under the guidance of medical staff and inviting family members and peers to participate can increase involvement and improve the self‐management ability.Relevance to Clinical PracticeThese findings describe the different stages and issues in the self‐management process of prediabetic patients. The practice of prediabetes self‐management should incorporate the psychosocial, physical, and financial issues of the patients. As the main provider of health services, nurses should make patients aware of the susceptibility and severity of prediabetes and help them improve their self‐management skills.No Patient or Public ContributionThis is a meta‐synthesis without direct participation of patients.
“…Before diagnosis, many patients are often unaware of the health problems that have occurred because prediabetes has no obvious clinical symptoms (Kuo et al, 2014; Schmidt et al, 2022; Strachan et al, 2018). After diagnosis, the sudden identity change process may cause the conflict between the old and new roles, making it difficult for patients to accept the results and even questioning the diagnosis (Andersson et al, 2008; Howells et al, 2021; Li et al, 2015; Schmidt et al, 2022; van Wissen & Blanchard, 2021). I couldn't believe that I actually had this, because I'm slim, I wasn't overweight; I thought it was only fat people that got diabetes, and people who drank a lot.…”
BackgroundDiabetes has become a global public health problem. Strengthening the self‐management ability of people with prediabetes plays an important role in preventing the occurrence and development of type 2 diabetes. The aim of this study is to synthesise the self‐management experiences and perceptions of people with prediabetes, which can contribute to the development of self‐management programs.MethodsThis review adheres to the ENTREQ Guide. Evidence‐based medicine database (JBI and Cochrane) and original literature database (PubMed, Medline, EMbase, Web of Science, Wanfang, CNKI and VIP) were searched up to 31 May 2022. Both Chinese and English literature of qualitative research on self‐management experiences and perceptions of prediabetic patients were included. The quality of the included studies was evaluated, and the data were synthesised and analysed by thematic synthesis method.ResultsA total of 23 primary studies containing 504 participants were included. After repeated reading and coding of the literature, three analytical themes were finally identified: coping with role management, success and failure in medical management, seeking and perceiving support.ConclusionRole management for people with prediabetes needs more attention. Healthcare providers should identify problems from patients' self‐management experiences and improve professional skills to assist program modifications. Integrating the self‐management program into community activities under the guidance of medical staff and inviting family members and peers to participate can increase involvement and improve the self‐management ability.Relevance to Clinical PracticeThese findings describe the different stages and issues in the self‐management process of prediabetic patients. The practice of prediabetes self‐management should incorporate the psychosocial, physical, and financial issues of the patients. As the main provider of health services, nurses should make patients aware of the susceptibility and severity of prediabetes and help them improve their self‐management skills.No Patient or Public ContributionThis is a meta‐synthesis without direct participation of patients.
“…In summary, the results discussed so far allow us to state that the studied sample of caregivers, in terms of behaviors contributing to SC, is similar to that of other countries, reiterating the need to recognize, together, the caregiver and the patient with HF as the focus of care offered. SC in HF, as in other chronic conditions, requires hard work that needs to be recognized by the patients themselves 32 and health professionals in their clinical practices.…”
Resumo Objetivo: analisar a contribuição do cuidador para o autocuidado na insuficiência cardíaca e variáveis preditoras desta contribuição. Método: estudo transversal descritivo e analítico, com a participação de 140 díades (pacientes e cuidadores). A contribuição para o autocuidado foi avaliada por meio do Caregiver Contribution to Self-Care of Heart Failure Index. Cuidadores e pacientes foram entrevistados separadamente para obtenção dos dados. A regressão linear múltipla foi utilizada para verificar variáveis preditoras da contribuição do cuidador. Resultados: a pontuação média de contribuição para o autocuidado de manutenção foi 62,7 (DP=7,1), de manejo, 62,9 (DP=20,4) e na confiança foi 63,3 (DP=22,1). A variáveis número de medicamentos do paciente, cuidador ter parentesco com o paciente, percepção social do cuidador, qualidade de vida relacionada à saúde do paciente e a confiança do cuidador na contribuição para o autocuidado foram preditoras da contribuição do cuidador para o autocuidado de manutenção ou de manejo. Conclusão: a contribuição do cuidador foi insuficiente. O apoio social percebido pelo cuidador, cuidador ter ou não parentesco com o paciente, número de medicamentos utilizados pelo paciente, bem como a confiança do cuidador em contribuir para o autocuidado são variáveis que devem ser consideradas para avaliar o risco de contribuição insuficiente do cuidador.
“…En resumen, los resultados discutidos hasta ese momento permiten afirmar que la muestra estudiada de cuidadores -en términos de los comportamientos de contribución para el AC -es similar a la de otros países, reiterando la necesidad de reconocer, conjuntamente, al cuidador y al paciente con IC como el foco de los cuidados ofrecidos. El AC en la IC, así como en otras condiciones crónicas, requiere trabajo pesado, que necesita ser reconocido por los propios pacientes (32) y profesionales de salud en sus prácticas clínicas.…”
Resumen Objetivo: analizar la contribución del cuidador para el autocuidado en la insuficiencia cardiaca y las variables predictoras de esa contribución. Método: estudio transversal descriptivo y analítico, con la participación de 140 díadas (pacientes y cuidadores). La contribución para el autocuidado fue evaluada por medio del Caregiver Contribution to Self-Care of Heart Failure Index. Los cuidadores y pacientes fueron entrevistados separadamente para obtención de los datos. La regresión linear múltiple fue utilizada para verificar variables predictoras de la contribución del cuidador. Resultados: la puntuación media de contribución para el autocuidado de manutención fue 62,7 (DE=7,1), de administración fue 62,9 (DE=20,4) y de confianza fue 63,3 (DE=22,1). Las variables: número de medicamentos del paciente, cuidador tener parentesco con el paciente, percepción social del cuidador, calidad de vida relacionada a la salud del paciente y la confianza del cuidador en la contribución para el autocuidado, fueron predictoras de la contribución del cuidador para el autocuidado de manutención o de administración. Conclusión: la contribución del cuidador fue insuficiente. El apoyo social percibido por el cuidador, el cuidador tener o no parentesco con el paciente, el número de medicamentos utilizados por el paciente y la confianza del cuidador en contribuir para el autocuidado, son variables que deben ser consideradas para evaluar el riesgo de contribución insuficiente del cuidador.
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