Diabetes self-care behaviors in adults with disabilities: A systematic review.
Diabetes self-care behaviors in adults with disabilities: A systematic review.
复制标题
残疾成人的糖尿病自我护理行为：系统评价。
DOI：
10.1111/jjns.12289
复制
发表时间：
2020
期刊：
影响因子：
--
通讯作者：
S. Chang
中科院分区：
文献类型：
--
作者：
Eunjin Yang;Hee Jung Kim;Hyunju Ryu;S. Chang
目的
残疾人糖尿病自我护理行为的综合证据与糖尿病和残疾人数的增长不相称。本研究旨在通过对现有证据的全面回顾，确定影响糖尿病和残疾成人自我护理行为的因素。
方法
本综述遵循系统综述研究的科克伦指南，并符合系统综述和荟萃分析的首选报告项目。为了找到符合条件的文章，检索了五个电子数据库-PubMed，Embase，CINAHL，Psych-articles和科克伦图书馆-从每个数据库涵盖的时间段开始到2017年6月。四名研究人员独立进行研究选择，提取数据，并评估数据质量。
结果
回顾了20项研究，以确定糖尿病自我护理行为的障碍和促进因素。对于发育障碍的人来说，自我照顾行为最突出的促进因素是他们获得的行为支持。对于有视觉障碍的人来说，这个促进者是使用有用的辅助设备，利用另一种感觉。自我照顾行为的主要障碍是身体残疾者的行动受限和视力障碍者缺乏无障碍环境。
结论
本综述通过残疾类型确定了糖尿病自我护理行为的障碍和促进因素。医疗保健服务需要针对这些促进因素和障碍，并根据残疾类型加以区分。
AIM
The integrated evidence on diabetes self-care behaviors in people with a disability is not commensurate with the growing number of people with both diabetes and a disability. This study aims to identify factors influencing self-care behaviors in adults with diabetes and a disability based on a thorough review of the current evidence.
METHODS
This review followed the Cochrane guidelines for systematic review research and complies with the Preferred Reporting Items for Systematic Reviews and Meta-Analysis. To find eligible articles, five electronic databases-PubMed, Embase, CINAHL, Psych-articles, and the Cochrane Library-were searched, from the beginning of the chronological period covered by each database to June 2017. Four researchers independently conducted study selections, extracted data, and assessed the data quality.
RESULTS
Twenty studies were reviewed to identify barriers to and facilitators of diabetes self-care behaviors. For people with developmental disabilities, the most prominent facilitator of self-care behaviors was the support they received for the behaviors. For people with visual impairments, that facilitator was the use of helpful assistive devices that take advantage of another sense. The main barriers to self-care behaviors were mobility limitation for people with physical disabilities and lack of accessibility for people with visual impairments.
CONCLUSIONS
This review has identified barriers to and facilitators of diabetes self-care behaviors by type of disability. Healthcare services need to be tailored to these facilitators and barriers, and differentiated by type of disability.