Psychosocial contexts of diabetes and older adulthood: reciprocal effects.
Psychosocial contexts of diabetes and older adulthood: reciprocal effects.
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DOI：
10.1177/014572179101700507
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发表时间：
1991-09-01
期刊：
影响因子：
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通讯作者：
Connell, C M
中科院分区：
文献类型：
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作者：
Connell, C M
本研究旨在评估糖尿病和老年人的心理社会背景之间的相互影响。数据收集自191名60岁以上的非胰岛素依赖型糖尿病社区居民。结果表明，患有糖尿病的老年人报告的选定慢性疾病的发病率较高，自我评定的身体健康状况较低，抑郁水平较高，而非糖尿病老年人的对照样本。与年轻的NIDDM患者相比，目前的老年人样本认为糖尿病的影响较小，包括代谢控制不良的症状较少，情绪影响较小，依从性障碍较少，治疗方案不太复杂。社会支持和方案依从性的总体水平很高。该样本中的老年人报告说，他们希望家人和朋友在自我管理活动中提供最小的帮助，并在遵循膳食计划和服用药物方面获得比预期更多的帮助。老年糖尿病自我管理的独特背景下的影响进行了讨论。
The present study was conducted to assess the reciprocal effects between the psychosocial contexts of diabetes and older adulthood. Data were collected from 191 community-dwelling adults over the age of 60 with non-insulin-dependent diabetes mellitus. Results indicate that older adults with diabetes reported higher rates of selected chronic illnesses, lower self-rated physical health, and higher levels of depression than did comparison samples of older adults without diabetes. Compared with younger adults with NIDDM, the present sample of older adults perceived fewer impacts of diabetes, including fewer symptoms of poor metabolic control, less emotional impact, fewer barriers to adherence, and less complex regimens. Overall levels of social support and regimen adherence were high. Older adults in this sample reported wanting minimal help from their family and friends with self-management activities and receiving more help than desired with following a meal plan and taking medications. Implications of the unique context of older adulthood for diabetes self-management are discussed.