The Challenge of Diabetes in the Elderly and Affecting Factors

Ovayolu, Özlem; Ovayolu, Nimet; Doğru, Ayşe; Özkaya, Mesut

doi:10.1097/hnp.0000000000000102

Cited by 13 publications

(16 citation statements)

References 10 publications

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“…This measure, Willingness to Accept Life-Sustaining Treatment (WALT) was also utilized by Janssen et al [ 44 ] for Dutch patients with two of the three conditions explored by Fried et al [ 80 ]: chronic obstructive pulmonary disease and chronic heart failure. Other authors stated that they measured treatment burden but provided minimal or no detail on the actual measurement process or sub-scales used [ 20 , 44 , 48 , 55 , 56 , 78 ]. Readers would therefore need to search beyond the paper to identify what dimensions of treatment burden were included.…”

Section: Resultsmentioning

confidence: 99%

“…from carrying, storing, and administering medication, and impact on lifestyle, e.g. diabetic medication and effect on meal times, exercise and/or diet [ 19 , 48 , 79 ]. Alternatively, one broad treatment burden question was included by Hanke et al [ 43 ], who asked participants with actinic keratosis how much of a problem had the treatment been, ‘for example by making your home messy, or by taking up time?’ Some studies identified the total number of therapeutic drug classes or medications a person was taking, i.e.…”

Section: Resultsmentioning

confidence: 99%

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Measuring the burden of treatment for chronic disease: implications of a scoping review of the literature

Sav

Salehi

Mair

et al. 2017

BMC Med Res Methodol

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BackgroundAlthough there has been growing research on the burden of treatment, the current state of evidence on measuring this concept is unknown. This scoping review aimed to provide an overview of the current state of knowledge as well as clear recommendations for future research, within the context of chronic disease.MethodsFour health-based databases, Scopus, CINAHL, Medline, and PsychInfo, were comprehensively searched for peer-reviewed articles published between the periods of 2000–2016. Titles and abstracts were independently read by two authors. All discrepancies between the authors were resolved by a third author. Data was extracted using a standardized proforma and a comparison analysis was used in order to explore the key treatment burden measures and categorize them into three groups.ResultsDatabase searching identified 1458 potential papers. After removal of duplications, and irrelevant articles by title, 1102 abstracts remained. An additional 22 papers were added via snowball searching. In the end, 101 full papers were included in the review. A large number of the studies involved quantitative measures and conceptualizations of treatment burden (n = 64; 63.4%), and were conducted in North America (n = 49; 48.5%). There was significant variation in how the treatment burden experienced by those with chronic disease was operationalized and measured.ConclusionDespite significant work, there is still much ground to cover to comprehensively measure treatment burden for chronic disease. Greater qualitative focus, more research with cultural and minority populations, a larger emphasis on longitudinal studies and the consideration of the potential effects of “identity” on treatment burden, should be considered.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Measuring the burden of treatment for chronic disease: implications of a scoping review of the literature

Sav

Salehi

Mair

et al. 2017

BMC Med Res Methodol

View full text Add to dashboard Cite

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“…Diabetes mellitus is a chronic disease with a multifactorial pathogenesis and etiology that are related to the complex interactions between genetic and environmental factors. Increased life expectancy, a sedentary lifestyle and a poor diet have also contributed to the higher rates of type 2 diabetes mellitus worldwide.…”

Section: Introductionmentioning

confidence: 99%

Are home visits an effective method for diabetes management? A quantitative systematic review and meta‐analysis

Han

Wei

et al. 2017

J of Diabetes Invest

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Aims/IntroductionPrevious reviews have revealed uncertainty regarding the effectiveness of home visit interventions for managing diabetes. Therefore, we carried out a quantitative systematic review and meta‐analysis to evaluate the effects of home visit interventions among patients with diabetes.Materials and MethodsWe searched various electronic databases (PubMed, EMBASE, Cochrane Library, Web of Science, CINAHL, Wanfang and Chinese scientific full‐text databases) from their inception until March 2016. We included randomized controlled trials that included patients with diabetes, and evaluated the effects of home visit programs on glycated hemoglobin concentrations. Two reviewers independently used the Cochrane Collaboration methods to assess the included studies’ risk of bias and quality.ResultsWe included seven randomized controlled trials with 686 participants. Compared with the usual care, the home visit group showed a greater reduction in glycated hemoglobin concentrations (mean difference −0.79% [−9 mmol/mol], 95% confidence interval [CI]: −0.93 to −0.25% [11 to −3 mmol/mol]; P < 0.05; I 2 = 0%), systolic blood pressure (mean difference −5.94 mmHg, 95% confidence interval −11.34 to −0.54 mmHg) and diastolic blood pressure (mean difference −6.32 mmHg, 95% confidence interval −12.00 to −0.65 mmHg). Furthermore, home visits improved quality of life, high‐density lipoprotein, low‐density lipoprotein, total triglycerides and self‐management. However, there were no significant differences between the two groups in their bodyweight, total cholesterol, body mass index and self‐efficacy.ConclusionHome visits were associated with improved glycemic control and reduced cardiovascular risk factors, which shows that it is an effective method for diabetes management.

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“…Hastaların düzenli rehabilitasyon programına dâhil edilmesi hastane başvurularını azaltacağı gibi, gerekli olmayan ilaç tüketimini de önleyerek ekonomik kaybı azaltacaktır. 4 Günlük yaşam aktivitelerinin ele alındığı bir çalışmada, kronik obstrüktif akciğer hastalığı (KOAH) ve kalp yetersizliği olan hastaların bakımda en fazla bağımlı oldukları günlük aktivite alanlarının; hareket, giyinme, vücut temizliği, boşaltım ve tehlikelerden kaçınma olduğu saptanmıştır. 5 İnsanın fizyolojik olarak hayatını sürdürebilmesi için temel gereksinimlerinin karşılanması zorunludur.…”

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Determining the Care Dependence of Patients Hospitalized in the Chest Diseases Clinic of a University Hospital

Düzgün¹,

Yılmaz²,

Kara³

et al. 2019

Turkiye Klinikleri J Nurs Sci

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Ö ÖZ ZE ET T A Am ma aç ç: : Bu araştırma, bir üniversite hastanesinin göğüs hastalıkları kliniğinde yatan, kronik solunum hastalıklarına sahip olan hastaların bakım bağımlılığı düzeylerini belirlemek amacıyla yapıldı. G Ge er re eç ç v ve e Y Yö ön nt te em ml le er r: : Araştırma örneklemini, Marmara Bölgesi'nde bulunan bir üniversite hastanesinin göğüs hastalıkları kliniğinde yatan, görme ve işitme sorunu olmayan, bilinci açık, iletişim problemi yaşanmayan, 18 yaşın üstünde, araştırmaya katılmayı kabul eden 147 hasta oluşturdu. Araştırma verilerinin toplanmasında "Hasta Tanıtım Formu" ve "Bakım Bağımlılığı Ölçeği (Care Dependency Scale-CDS)" kullanıldı. Araştırma verilerinin değerlendirilmesinde, tanımlayıcı istatistikler, Mann-Whitney U testi ve Kruskal-Wallis testi kullanıldı. BBu ul lg gu ul la ar r: : Araştırma kapsamına alınan hastaların yaş ortalamaları 61,01±15,83 (yaş aralığı 19-91) yıl olup, %61,2'sinin kadın olduğu, %49'unun pnömoni tıbbi tanısıyla klinikte yattığı, %81'inin evli, %63,9'unun ilköğretim mezunu olduğu, %30,6'sının ev hanımı, %64,6'sının solunum sistemi hastalığına ek olarak kronik hastalığa sahip olduğu belirlendi. Hastaların CDS toplam puan ortalaması 60,35±16,97 olarak hesaplandı. Hastaların yaş grubu, eğitim durumu ve ek kronik hastalık varlığı değişkenleri ile CDS toplam puan ortalamaları arasında istatistiksel olarak anlamlı bir fark bulunurken (p<0,05), cinsiyet, tıbbi tanı, medeni durum ve meslek grubu değişkenleri ile CDS toplam puan ortalamaları arasında istatistiksel olarak anlamlı bir fark saptanmadı (p>0,05). S So on nu uç ç: : Araştırma sonucunda; göğüs hastalıkları kliniğinde yatan, kronik solunum hastalıklarına sahip hastaların bakım gereksinimlerini karşılamada kısmen bağımlı oldukları, ileri yaşa sahip, okuryazar olmayan ve ek bir kronik hastalığı olan hastaların diğer hastalara göre bakım bağımlılığı düzeylerinin yüksek olduğu bulundu. Araştırmanın farklı kurumlarda daha geniş bir örneklem grubuyla yapılması önerilebilir.A An na ah h t ta ar r K Ke e l li i m me e l le er r: : Bakım bağımlılığı; kronik solunum sistemi hastalığı; hemşirelik bakımı; hemşirelik A AB BS S T TR RA AC CT T O Ob bj je ec ct ti iv ve e: : This study was implemented for the purpose of determining the care dependence levels of patients with chronic respiratory diseases hospitalized in the chest diseases clinic of a university hospital. M Ma at te er ri ia al l a an nd d M Me et th ho od ds s: : The study consisted of 147 patients who were hospitalized in the chest diseases clinic of a university hospital in the Marmara Region, had no problem with seeing and hearing, were conscious, had no communication problem, were older than 18 years and accepted to participate in the study. The study data were collected using "Patient Introduction Form" including introductory data of the patients and "Care Dependency Scale (CDS)". The study data descriptive statistics, Mann-Whitney U test and Kruskal-Wallis test. R Re es su ul lt ts s: : It was determined that age mean of the patients who were included in th...

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The Challenge of Diabetes in the Elderly and Affecting Factors

Cited by 13 publications

References 10 publications

Measuring the burden of treatment for chronic disease: implications of a scoping review of the literature

Measuring the burden of treatment for chronic disease: implications of a scoping review of the literature

Are home visits an effective method for diabetes management? A quantitative systematic review and meta‐analysis

Determining the Care Dependence of Patients Hospitalized in the Chest Diseases Clinic of a University Hospital

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