Systematic Reviews
Copyright ©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
Table 1 Summary of studies and reported study results
Ref.
Purpose
Method
Study population/setting
Data collection
Data analysis
Major findings
Pamungkas et al[35], 2017, BrazilIdentify categories of self-care among older adults with diabetes, considering their physical, mental and spiritual dimensionsQualitativen = 13; Aged ≥ 60; With diabetesMethodDifficulties 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 StatesExplore barriers to and facilitators of diabetes Self-management among first-generation Korean–American elderly immigrants with type 2 diabetesQualitativen = 18; Aged ≥ 65; 12 males; 11 females; Diagnosed with type 2 diabetes for at least a year(1) Focus group interview; and (2) Individual interviewContent-based analysisHigh 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, KoreaIdentify barriers to and facilitators of self-management Adherence in Korean older adults with type 2 diabetes mellitusQualitative n = 24; Aged ≥ 65; 10 males; 14 females; Had been diagnosed with diabetes 12.8 yr beforeFocus group interview Interpretive meth oAging-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, SingaporeDescribe, through qualitative methods, the experiences and ways of coping of older Singaporean Chinese women with type 2 diabetesQualitative n = 10; Aged 60–69; 10 females diagnosed with type 2 diabetesSemi-structured interviewsThematic analysisLiving with diabetes; Coping with diabetes; Caring for self
Bustillos and Sharkey[36], 2020, United StatesTo study the experiences and challenges of type 2 diabetesSelf-management among homebound older adults who regularly receive home-delivered meals and servicesQualitativen = 31; Aged ≥ 65; Eight males; 23 females; Diagnosed with type 2 diabetesSemi-structured interviewsThematic analysisPerceived 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 StatesExplore older adults’ values and preferences regarding type 2 diabetes careQualitativen = 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 analysisRespect 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 StatesElucidate 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 areaQualitativen = 10; Aged = 65–85; Diagnosed with type 2 diabetes Unstructured interviewsPhenomenology analysisYour 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 studyFocus group interviewThematic analysisPositive perceptions and optimistic attitudes will optimise diabetes self-care outcomes
Carolan-Olah and Cassar[33], 2018Experience of living with diabetes and factors that facilitated or inhibited access to diabetes servicesQualitative n = 13; Eight males; Five females; Aged ≥ 60; Diagnosed with type 2 diabetesFocus group interviewThe value of health; The impact of diabetes; Making changes; Managing diabetes; Access to information and services
Tang et al[29], 2015, ChinaTo understand the self-management ability of elderly people with diabetes in the rural areas of Ji’anQualitativen = 13; Aged ≥ 60; 8 males; 5 females; Diagnosed with type 2 diabetesSemi-structured interviews AnalysisLack of related knowledge of diabetes; Unable to change habits; Influence of family social support and health condition