Nurses' role in management of type 2 diabetes in elderly : A Systematic Literature Review
Pandey, Balkrishna (2023)
2023
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Julkaisun pysyvä osoite on
https://urn.fi/URN:NBN:fi:amk-2023121437323
https://urn.fi/URN:NBN:fi:amk-2023121437323
Tiivistelmä
Type 2 diabetes is a chronic disease common in elderly people. Uncontrolled diabetes can lead to severe diabetic complications and, eventually, death. Managing diabetes in the older population is challenging due to age-related physical and mental disabilities, comorbidities, and a lack of self-care management. The main aim of this paper was to enhance and understand the deeper knowledge of the nurses’ role in the management of type 2 diabetes in elderly people, guided by Orem’s self-care deficit nursing theory.
A systematic literature review using thematic synthesis was conducted to address the clinical research question. Academic Search Elite (EBSCO), CINAHL Complete, and MEDLINE databases were employed, applying inclusion and exclusion criteria to identify relevant studies, and 10 out of 612 studies were selected in accordance with the PRISMA chart.
Findings outline four major themes: pharmacological support, physical activities, healthy eating, and counseling, which are essential components to manage type 2 diabetes in elderly people. Ten sub-themes are derived from data on nurses’ roles, which are reminding to take medicine, giving medicine knowledge, introducing technology, designing, and instructing exercise intervention, encouraging patients to exercise, motivating patients to walk, presenting dietary advice, planning nutritional meals, offering psychological support, and providing education. The findings of this paper highlight the importance of self-care and the nurses’ role in managing diabetes. Furthermore, future research in empirical data from older patients with type 2 diabetes is recommended due to the lack of studies exclusively on the older population with type 2 diabetes.
A systematic literature review using thematic synthesis was conducted to address the clinical research question. Academic Search Elite (EBSCO), CINAHL Complete, and MEDLINE databases were employed, applying inclusion and exclusion criteria to identify relevant studies, and 10 out of 612 studies were selected in accordance with the PRISMA chart.
Findings outline four major themes: pharmacological support, physical activities, healthy eating, and counseling, which are essential components to manage type 2 diabetes in elderly people. Ten sub-themes are derived from data on nurses’ roles, which are reminding to take medicine, giving medicine knowledge, introducing technology, designing, and instructing exercise intervention, encouraging patients to exercise, motivating patients to walk, presenting dietary advice, planning nutritional meals, offering psychological support, and providing education. The findings of this paper highlight the importance of self-care and the nurses’ role in managing diabetes. Furthermore, future research in empirical data from older patients with type 2 diabetes is recommended due to the lack of studies exclusively on the older population with type 2 diabetes.