"Everyone else gets ice cream here more often than I do--It burns me up"--Perspectives on Diabetes Care from Nursing Home Residents and their Doctors.
"Everyone else gets ice cream here more often than I do--It burns me up"--Perspectives on Diabetes Care from Nursing Home Residents and their Doctors.
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“其他人在这里比我更经常得到冰淇淋 - 它燃烧了我。”关于疗养院居民及其医生的糖尿病护理的观点。
DOI：
10.1186/s12877-016-0199-0
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发表时间：
2016-01-26
期刊：
影响因子：
4.1
通讯作者：
Lee SJ
中科院分区：
文献类型：
--
作者：
Barnhart C;McClymont K;Smith AK;Au-Yeung A;Lee SJ
探讨护理之家（NH）的糖尿病居民和他们的医生对糖尿病生活和糖尿病治疗的负担的看法。对退伍军人事务部养老院（称为社区生活中心）65岁及以上糖尿病患者（n = 14）和养老院医生（n = 9）的定性研究。采用半结构化访谈的方式，了解疗养院住院医师与医师对糖尿病负担与糖尿病治疗的看法。使用恒定比较方法分析成绩单。养老院居民的平均年龄为74岁;大多数（93%）是男性，50%的人自认为是白色。护理之家医生的平均年龄为39岁，55%为老年病学家。饮食限制、丧失独立性和手指针刺/胰岛素被认为是糖尿病最沉重的负担。具有更积极前景的养老院居民通常更积极地参与他们的护理，而具有更悲观前景的养老院居民参与度较低，允许他们的医生完全控制他们的护理。虽然医生注意到饮食限制的潜在负面影响，但养老院居民的评论表明，医生低估了饮食限制的负担。退伍军人事务部疗养院居民的糖尿病治疗负担很大，特别是饮食限制和手指针刺监测。由于几乎没有证据表明饮食限制可以改善结果，因此减少饮食限制可能是适当的，并降低了疗养院糖尿病患者的治疗负担。本文的在线版本（doi：10.1186/s12877-016-0199-0）包含补充材料，可供授权用户使用。
To explore the perspectives of nursing home (NH) residents with diabetes and their doctors regarding the burdens of living with diabetes and diabetes treatments. Qualitative study of nursing home residents aged 65 and older with diabetes (n = 14) and nursing home physicians (n = 9) at a Department of Veterans Affairs nursing home (known as the Community Living Center). A semi-structured interview was used to elicit nursing home residents’ and physicians’ perspectives on the burden of diabetes and diabetes treatments. Transcripts were analyzed using constant comparative methods. The mean age of the nursing home residents was 74; Most (93 %) were male and 50 % self-identified themselves as white. The mean age of nursing home physicians was 39 and 55 % were geriatricians. Dietary restrictions, loss of independence and fingersticks/insulin were noted to be the most burdensome aspects of diabetes. Nursing home residents with a more positive outlook were generally more engaged in their care, while nursing home residents with a more pessimistic outlook were less engaged, allowing their physicians to assume complete control of their care. While physicians noted the potential negative impact of dietary restrictions, nursing home residents’ comments suggest that physicians underestimate the burden of dietary restrictions. Veterans Affairs nursing home residents were substantially burdened by their diabetes treatments, especially dietary restrictions and fingerstick monitoring. Since there is little evidence that dietary restrictions improve outcomes, fewer dietary restrictions may be appropriate and lead to lower treatment burdens for nursing home residents with diabetes. The online version of this article (doi:10.1186/s12877-016-0199-0) contains supplementary material, which is available to authorized users.