Blood sugar management in aged patients with Type Ⅱ diabetes based on theoretical domain framework:a qualitative study
10.3969/j.issn.1671-8283.2025.01.005
- VernacularTitle:基于理论域框架的老年2型糖尿病患者血糖管理需求的质性研究
- Author:
Manfen QIN
1
;
Min ZHOU
;
Yuan GAO
;
Xuan XU
;
Liping YANG
;
Meiling HU
Author Information
1. 南昌大学第二附属医院护理部,江西 南昌,330006;南昌大学,江西医学院,护理学院,江西 南昌,330006
- Publication Type:Journal Article
- Keywords:
diabetes,Type 2 diabetes;
the aged;
blood sugar management;
theoretical domain framework;
needs;
descriptive phenomenological research
- From:
Modern Clinical Nursing
2025;24(1):30-38
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the requirement of blood sugar management in elderly patients with Type Ⅱ diabetes and to provide a reference for development of a program in management of blood sugar.Methods Using interpretive decriptive phenomenological research,an interview outline based on the theoretical domain framework was developed and face-to-face semi-structured interviews were conducted with 16 aged patients who had Type Ⅱ diabetes in the Department of Endocrinology and Metabolism of a Grade ⅢA hospital in Jiangxi Province.The participants were selected by purposive sampling.Colaizzi 7-step analytical method,in conjunction with Nvivo 11 software,was used to analyse,summarise and extract the themes.Results Seven themes related to the theoretical domain framework were extracted,which included knowledge,skills,environmental context and resources,behavioural adjustment,motivation and goals,emotions and self-efficacy.After refinement,nine sub-themes on major requirement for blood glucose management were extracted,which included the requirements for knowledge and skills in blood sugar management,support from the community and healthcare resources,support from the family,changes in maladaptive behaviours,individualised blood sugar management,motivation for self-management,clarity in goals of blood sugar control,emotional support and psychological adjustment,and support for strengthened beliefs(9 sub-themes).Conclusion Elderly patients with Type Ⅱ diabetes have diverse and individualised needs in management of blood sugar.In the future,healthcare staff should develop appropriate strategies or programs to meet the individual needs of patients by addressing the actual needs of patients,improving the self-management behaviours of patients so as to improve the effects of the blood sugar control.
