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Nursing interventions and roles for elderly patients with type 2 diabetes mellitus: a systematic literature review

Onwubiko, Lilian Tochukwu (2024)

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Onwubiko, Lilian Tochukwu
2024
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Julkaisun pysyvä osoite on
https://urn.fi/URN:NBN:fi:amk-2024121937663
Tiivistelmä
Type 2 diabetes mellitus (T2DM) is a chronic condition where the body struggles to regulate glucose levels due to either insulin resistance or insufficient insulin production that disproportionately affects the elderly, posing a public health challenge and complications if left untreated. The aim of this research is to uncover and understand the interventions and roles of nurses for elderly people with type 2 diabetes to prevent complication and increase wellbeing.

A qualitative systematic review of literature was conducted, sourcing studies published between 2019 and 2024 from three electronic databases: Academic Search Elite (EBSCO), CINAHL Complete, and MEDLINE. Applying strict inclusion and exclusion criteria, 9 out of 894 studies were selected based on the PRISMA framework and qualitative content analysis was used for the selected studies. Orem’s Self-Care Deficit Theory of Nursing was employed as the guiding theoretical framework for this research.

The findings reveal four core themes essential to managing T2DM in the elderly: pharmacological intervention, nutrition, physical activity, and psychotherapy. From these themes, eleven sub-themes emerged. This research underscores the significance of personalized, patient-centred care, emphasizing the need for consistent education and emotional support to empower elderly patients to manage their condition effectively. Nurses not only address the clinical aspects of diabetes management but also play a critical role in alleviating the psychological burden associated with the disease.
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