Self-management Experience of Middle-aged and Older Adults With Type 2 Diabetes: A Qualitative Study

Summary: Purpose: Diabetes mellitus has been either the fourth or fifth leading cause of death among Taiwanese adults during 1995–2015. Older adults with diabetes are at higher risk of developing diabetic macro-vascular and micro-vascular complications. The purpose of this study explored the self-m...

Full description

Bibliographic Details
Main Authors: Fei-Ling Wu, Hsiu-Chen Tai, Jui-Chiung Sun
Format: Article
Language:English
Published: Elsevier 2019-08-01
Series:Asian Nursing Research
Online Access:http://www.sciencedirect.com/science/article/pii/S1976131718303037
_version_ 1818176304149692416
author Fei-Ling Wu
Hsiu-Chen Tai
Jui-Chiung Sun
author_facet Fei-Ling Wu
Hsiu-Chen Tai
Jui-Chiung Sun
author_sort Fei-Ling Wu
collection DOAJ
description Summary: Purpose: Diabetes mellitus has been either the fourth or fifth leading cause of death among Taiwanese adults during 1995–2015. Older adults with diabetes are at higher risk of developing diabetic macro-vascular and micro-vascular complications. The purpose of this study explored the self-management experiences of middle-aged and older adults with diabetes through a focus group. Methods: Purposive sampling was used to recruit patients with diabetes from the metabolic outpatient clinics of medical centers and regional hospitals in Taiwan. Two focus groups, comprising a total of 23 participants, were employed to collect data, and group discussions were held a total of four times in an education room that was distant from clinical areas. Results: Three themes were generated from analysis of the collected data: (1) “listening to the voice of the body and observing physical changes,” (2) “re-recognizing diabetes and challenges,” and (3) “self-management implementation dilemmas.” This study provided new insights into the experiences of middle-aged and older adults in Taiwan regarding their self-management of diabetes. Conclusion: Healthcare teams should be involved in the self-management education of patients with diabetes as early as possible to reduce patients’ anxiety and to develop more patient-centered, culture-sensitive clinical skills. In addition to monitoring patients’ self-management, healthcare professor should pay more attention to patients’ successful adaptation to and coexistence with the disease. Keywords: diabetes mellitus, focus groups, middle aged, self-management
first_indexed 2024-12-11T20:14:03Z
format Article
id doaj.art-b5ce09b2c7284a58872992aeb893f25c
institution Directory Open Access Journal
issn 1976-1317
language English
last_indexed 2024-12-11T20:14:03Z
publishDate 2019-08-01
publisher Elsevier
record_format Article
series Asian Nursing Research
spelling doaj.art-b5ce09b2c7284a58872992aeb893f25c2022-12-22T00:52:13ZengElsevierAsian Nursing Research1976-13172019-08-01133209215Self-management Experience of Middle-aged and Older Adults With Type 2 Diabetes: A Qualitative StudyFei-Ling Wu0Hsiu-Chen Tai1Jui-Chiung Sun2Department of Nursing, Chang Gung University of Science and Technology, Taoyuan, Taiwan; Chang Gung Memorial Hospital, Taoyuan, TaiwanDepartment of Nursing, Chang Gung University of Science and Technology, Taoyuan, TaiwanDepartment of Nursing, Chang Gung University of Science and Technology, Taoyuan, Taiwan; Chang Gung Memorial Hospital, Taoyuan, Taiwan; Correspondence to: Jui-Chiung Sun, PhD, Department of Nursing, Chang Gung University of Science and Technology, 261, Wenhua 1st Road, Guishan District, Taoyuan City 33303, Taiwan.Summary: Purpose: Diabetes mellitus has been either the fourth or fifth leading cause of death among Taiwanese adults during 1995–2015. Older adults with diabetes are at higher risk of developing diabetic macro-vascular and micro-vascular complications. The purpose of this study explored the self-management experiences of middle-aged and older adults with diabetes through a focus group. Methods: Purposive sampling was used to recruit patients with diabetes from the metabolic outpatient clinics of medical centers and regional hospitals in Taiwan. Two focus groups, comprising a total of 23 participants, were employed to collect data, and group discussions were held a total of four times in an education room that was distant from clinical areas. Results: Three themes were generated from analysis of the collected data: (1) “listening to the voice of the body and observing physical changes,” (2) “re-recognizing diabetes and challenges,” and (3) “self-management implementation dilemmas.” This study provided new insights into the experiences of middle-aged and older adults in Taiwan regarding their self-management of diabetes. Conclusion: Healthcare teams should be involved in the self-management education of patients with diabetes as early as possible to reduce patients’ anxiety and to develop more patient-centered, culture-sensitive clinical skills. In addition to monitoring patients’ self-management, healthcare professor should pay more attention to patients’ successful adaptation to and coexistence with the disease. Keywords: diabetes mellitus, focus groups, middle aged, self-managementhttp://www.sciencedirect.com/science/article/pii/S1976131718303037
spellingShingle Fei-Ling Wu
Hsiu-Chen Tai
Jui-Chiung Sun
Self-management Experience of Middle-aged and Older Adults With Type 2 Diabetes: A Qualitative Study
Asian Nursing Research
title Self-management Experience of Middle-aged and Older Adults With Type 2 Diabetes: A Qualitative Study
title_full Self-management Experience of Middle-aged and Older Adults With Type 2 Diabetes: A Qualitative Study
title_fullStr Self-management Experience of Middle-aged and Older Adults With Type 2 Diabetes: A Qualitative Study
title_full_unstemmed Self-management Experience of Middle-aged and Older Adults With Type 2 Diabetes: A Qualitative Study
title_short Self-management Experience of Middle-aged and Older Adults With Type 2 Diabetes: A Qualitative Study
title_sort self management experience of middle aged and older adults with type 2 diabetes a qualitative study
url http://www.sciencedirect.com/science/article/pii/S1976131718303037
work_keys_str_mv AT feilingwu selfmanagementexperienceofmiddleagedandolderadultswithtype2diabetesaqualitativestudy
AT hsiuchentai selfmanagementexperienceofmiddleagedandolderadultswithtype2diabetesaqualitativestudy
AT juichiungsun selfmanagementexperienceofmiddleagedandolderadultswithtype2diabetesaqualitativestudy