Type 2 Diabetes Self-Management Barriers in Older Adults: An Integrative Review of the Qualitative Literature

Journal of Gerontological Nursing
Tina Saunders

Abstract

Type 2 diabetes is a prevalent chronic health condition more frequently affecting adults ages 65 and older. Furthermore, these individuals tend to have more type 2 diabetes-associated complications, compared with younger individuals with diabetes, and face unique challenges throughout the self-management process. Despite many studies and reviews about diabetes self-management, few researchers focus specifically on older adults. Of particular importance is the need to understand self-management challenges through the patient's lens. Therefore, the purpose of the current review is to examine and summarize the qualitative literature concerning type 2 diabetes self-management barriers in older adults. Following critical appraisal of literature published from 2007-2018, 10 articles were reviewed and content analysis performed. Four themes emerged: Lack of Knowledge and Understanding, Self-Management Implementation Challenges, Culture and Language Barriers, and Health Care Providers as a Perceived Barrier. The state of the qualitative science, implications for nursing practice, and recommendations for future research are discussed. [Journal of Gerontological Nursing, 45(3), 43-54.].

References

Nov 5, 2005·Journal of Advanced Nursing·Robin Whittemore, Kathleen Knafl
Mar 21, 2008·Journal of Advanced Nursing·Satu Elo, Helvi Kyngäs
Jul 16, 2008·Patient Education and Counseling·Achilia S MorrowAanand D Naik
Oct 12, 2010·International Journal of Older People Nursing·Misoon SongBomin Shim
Mar 15, 2011·Diabetic Medicine : a Journal of the British Diabetic Association·E A BeverlyK Weinger
Jun 21, 2011·American Journal of Health Behavior·Joseph G GrzywaczSara A Quandt
Oct 14, 2011·Diabetic Medicine : a Journal of the British Diabetic Association·M L SchiøtzI Willaing
Jan 10, 2012·Journal of Advanced Nursing·Wendy DugglebyJeannette Eby
Oct 27, 2012·Diabetes Care·M Sue KirkmanCarrie S Swift
Mar 8, 2013·Diabetes Care·UNKNOWN American Diabetes Association
Nov 16, 2013·Diabetes, Metabolic Syndrome and Obesity : Targets and Therapy·Tricia A Miller, M Robin Dimatteo
Feb 11, 2014·Western Journal of Nursing Research·Katie WeingerArlene Smaldone
Dec 5, 2014·Journal of Multidisciplinary Healthcare·Kimberly D BrunisholzWayne Cannon
Mar 3, 2015·Lancet Neurology·Paula S KoekkoekGeert Jan Biessels
Apr 14, 2015·Diabetic Medicine : a Journal of the British Diabetic Association·D SherifaliM U Ali
Jul 21, 2015·International Journal of Environmental Research and Public Health·Omorogieva Ojo, Joanne Brooke
Jan 1, 2014·Clinical Diabetes : a Publication of the American Diabetes Association·Elizabeth A BeverlyCynthia L LaCoe
Dec 19, 2015·Health Promotion International·Judith Aponte, Kathleen M Nokes
Jan 21, 2016·Worldviews on Evidence-based Nursing·Ashleigh ButlerBeverley Copnell
Oct 18, 2016·Diabetes Technology & Therapeutics·Joni S WilliamsLeonard E Egede
Sep 7, 2016·Diabetes & Metabolic Syndrome·Vahidreza BorhaninejadReza Fadayevatan
Oct 1, 2016·Research in Nursing & Health·Hyejin KimChristine Bradway
Nov 16, 2016·Journal of Gerontological Nursing·Gail J Sullivan, Christine Williams
May 13, 2017·Scandinavian Journal of Caring Sciences·Ditte Hjorth LaursenUlla Christensen
May 31, 2017·Journal of Gerontological Nursing·Marnie Colborne, Sherry Dahlke
Dec 10, 2017·Diabetes Care·UNKNOWN American Diabetes Association
May 2, 2018·Journal of Diabetes and Its Complications·Mark PeyrotHeather L Stuckey

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Citations

Mar 21, 2021·JBI Evidence Synthesis·Ketia AlexandreIsabelle Peytremann-Bridevaux

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