Symptom Experience of Older Adults With Type 2 Diabetes and Diabetes-Related Distress
Symptom Experience of Older Adults With Type 2 Diabetes and Diabetes-Related Distress
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DOI：
10.1097/nnr.0000000000000370
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发表时间：
2019-09-01
期刊：
影响因子：
2.5
通讯作者：
Chesla, Catherine
中科院分区：
文献类型：
--
作者：
Hernandez, Lenore;Leutwyler, Heather;Chesla, Catherine
老年人、更多样化的人口和更长的寿命是预计到2050年2型糖尿病患病率将增加两倍的主要原因。糖尿病相关的痛苦影响了高达40%的2型糖尿病患者，并且由于合并症的患病率更高，老年人的风险可能更大。目的本现象学研究的目的是描述老年人（≥ 65岁）2型糖尿病患者糖尿病相关的痛苦可能是独特的经历。方法采用方便抽样法和滚雪球抽样法。解释现象学指导研究设计和分析。通过解释性访谈，我们调查了2型糖尿病患者的日常健康，症状和生活经历以及糖尿病痛苦的增加。结果在本研究的老年人中，最常见的症状是疲劳、低血糖、腹泻、疼痛、失去平衡和跌倒。这些糖尿病相关症状导致独立性大幅丧失，生活质量下降，并因活动受限而限制社交生活。糖尿病相关的痛苦在老年人中呈现出一些独特的症状和反应。提高对糖尿病相关困扰的老年人症状体验的认识，可以让医疗保健提供者量身定制治疗，从而改善老年人与糖尿病作斗争的结果。
Background An older, more diverse population and longer life spans are major contributors to the anticipated tripling of Type 2 diabetes prevalence by 2050. Diabetes-related distress affects up to 40% of people diagnosed with Type 2 diabetes and may be a greater risk for older adults due to greater prevalence of comorbidities. Objective The objective of this phenomenological study was to describe how diabetes-related distress in older adults (>= 65 years) with Type 2 diabetes might be uniquely experienced. Methods Participants were recruited using convenience sampling and snowball sampling. Interpretive phenomenology guided the research design and analysis. With interpretive interviews, we investigated the everyday health, symptoms, and life experiences of living with Type 2 diabetes and elevated diabetes distress. Results Among the older adults in this study, the most prevalent symptoms were fatigue, hypoglycemia, diarrhea, pain, loss of balance, and falling. These diabetes-related symptoms led to substantial loss of independence, decreased quality of life, and constrained social lives due to restricted activities. Discussion Diabetes-related distress presents with some unique symptoms and responses in older adults. Improving knowledge regarding the symptom experience of older adults with diabetes-related distress may allow healthcare providers to tailor treatment and thus improve outcomes for older adults struggling with diabetes.