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©The Author(s) 2022.
World J Clin Cases. Feb 6, 2022; 10(4): 1226-1241
Published online Feb 6, 2022. doi: 10.12998/wjcc.v10.i4.1226
Published online Feb 6, 2022. doi: 10.12998/wjcc.v10.i4.1226
Ref. | Purpose | Method | Study population/setting | Data collection | Data analysis | Major findings |
Pamungkas et al[35], 2017, Brazil | Identify categories of self-care among older adults with diabetes, considering their physical, mental and spiritual dimensions | Qualitative | n = 13; Aged ≥ 60; With diabetes | Method | Difficulties of self-control while living with diabetes Self-care in living with diabetes and raising self-esteem; Optimism and perseverance in diabetes care; Living peacefully with diabetes; The burden of diabetes in life; Self-care always to live longer and better; Understanding the importance of coexistence with the family; Self-care with the body and the mind; Conscious carelessness; Living happily all of the time | |
Joo and Lee[32], 2016, United States | Explore barriers to and facilitators of diabetes Self-management among first-generation Korean–American elderly immigrants with type 2 diabetes | Qualitative | n = 18; Aged ≥ 65; 12 males; 11 females; Diagnosed with type 2 diabetes for at least a year | (1) Focus group interview; and (2) Individual interview | Content-based analysis | High cost of type 2 diabetes care; Language issues; Loss of self-control; Memory loss; Limited access to healthcare resources; Time; Seeking information; Family and peer support |
Song et al[31], 2010, Korea | Identify barriers to and facilitators of self-management Adherence in Korean older adults with type 2 diabetes mellitus | Qualitative | n = 24; Aged ≥ 65; 10 males; 14 females; Had been diagnosed with diabetes 12.8 yr before | Focus group interview | Interpretive meth o | Aging-related physical and psychological changes Restrictions related to specific cultural factors; Lack of self-discipline; Poor understanding of self-management; Knowing the benefits of self-management and having a system to reinforce it; Being the master of oneself by reshaping historical life habits and family support |
Li et al[27], 2013, Singapore | Describe, through qualitative methods, the experiences and ways of coping of older Singaporean Chinese women with type 2 diabetes | Qualitative | n = 10; Aged 60–69; 10 females diagnosed with type 2 diabetes | Semi-structured interviews | Thematic analysis | Living with diabetes; Coping with diabetes; Caring for self |
Bustillos and Sharkey[36], 2020, United States | To study the experiences and challenges of type 2 diabetesSelf-management among homebound older adults who regularly receive home-delivered meals and services | Qualitative | n = 31; Aged ≥ 65; Eight males; 23 females; Diagnosed with type 2 diabetes | Semi-structured interviews | Thematic analysis | Perceived seriousness of diabetes relative to other health problems; Perceived self-management; Perceived barriers to self-management: Physical activity; Perceived barriers to self-management: Economic |
Beverly et al[28], 2014, United States | Explore older adults’ values and preferences regarding type 2 diabetes care | Qualitative | n = 25; Aged ≥ 60; 11 males; 14 females diagnosed with type 2 diabetes by a doctor at least 1 yr before the study | Focus groups interview | Thematic analysis | Respect and responsiveness to individual values and preferences can foster collaboration in physician–patient treatment relationship and help older adults feel confident that their treatment matches the values and preferences they deem important |
George and Thomas[30], 2010, United States | Elucidate experiences and perceptions of individuals with diabetes with regard to self-management, as narrated by older people diagnosed with insulin-dependent diabetes living in a rural area | Qualitative | n = 10; Aged = 65–85; Diagnosed with type 2 diabetes | Unstructured interviews | Phenomenology analysis | Your body will let you know; I thought I was fine, but I wasn’t; The only way out is to die; You just go on |
Washington and Wang-Letzkus[37], 2009, United States | Identify risk factors related to lifestyle, attitudes, and health beliefs, and the influence to self-care practices of Chinese American immigrants | Qualitative | n = 13; Aged ≥ 65; Seven males; Six females; Diagnosed with type 2 diabetes at least one year before the study | Focus group interview | Thematic analysis | Positive perceptions and optimistic attitudes will optimise diabetes self-care outcomes |
Carolan-Olah and Cassar[33], 2018 | Experience of living with diabetes and factors that facilitated or inhibited access to diabetes services | Qualitative | n = 13; Eight males; Five females; Aged ≥ 60; Diagnosed with type 2 diabetes | Focus group interview | The value of health; The impact of diabetes; Making changes; Managing diabetes; Access to information and services | |
Tang et al[29], 2015, China | To understand the self-management ability of elderly people with diabetes in the rural areas of Ji’an | Qualitative | n = 13; Aged ≥ 60; 8 males; 5 females; Diagnosed with type 2 diabetes | Semi-structured interviews | Analysis | Lack of related knowledge of diabetes; Unable to change habits; Influence of family social support and health condition |
- Citation: Li TJ, Zhou J, Ma JJ, Luo HY, Ye XM. What are the self-management experiences of the elderly with diabetes? A systematic review of qualitative research. World J Clin Cases 2022; 10(4): 1226-1241
- URL: https://www.wjgnet.com/2307-8960/full/v10/i4/1226.htm
- DOI: https://dx.doi.org/10.12998/wjcc.v10.i4.1226