Gestire il diabete di tipo 2 nell'anzianità . Un'analisi sistematica e sintesi tematica della letteratura

Guendalina Graffigna, Julia Paola Menichetti Delor, Pietro Cipresso, Elena Vegni

Risultato della ricerca: Contributo in rivistaArticolo in rivista

Abstract

Purpose: To systematize evidences related to self-management practices of older patients with type 2 diabetes, with particular reference to barriers and facilitators. Methods: Electronic databases were searched without year or language restrictions and independently screened and analyzed by two researchers following the SIGN evaluation checklist. Barriers and facilitators to self-care were thematically synthetized. Results: 17 articles were included. Five overarching themes for barriers and facilitators to self-care were identified: disease-related aspects, socio-demographic aspects, psychological aspects, doctor-patient aspects and social community aspects. In particular, diabetes symptoms, comorbidities and chronicity of treatment appeared to hamper self-care practices. On the contrary, working on personal resources and engaging peers and family has been reported to strengthen self-care behaviors. Finally, communication with the doctor was reported as the primary source of information and education to sustain self-care behaviors. Conclusions: Since engaging older type 2 diabetes patients in their care management is a multifaceted challenge that encompasses different potentially modifiable levels of action (e.g., individual, relational, social), solutions considering these levels should be considered. The need for a targeted intervention that would consider both ageing and diabetes-related difficulties is highlighted.
Titolo tradotto del contributo[Autom. eng. transl.] Managing Type 2 Diabetes in Old Age. A systematic analysis and thematic summary of the literature
Lingua originaleItalian
pagine (da-a)97-120
Numero di pagine24
RivistaPsicologia della Salute
DOI
Stato di pubblicazionePubblicato - 2017

Keywords

  • Ageing
  • Applied Psychology
  • Health (social science)
  • Patient engagement
  • Self-management
  • Systematic review
  • Type 2 diabetes

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