International Diabetes Nursing最新文献

{"title":"Intensive insulin therapy in the primary school setting: A meta-ethnographic synthesis","authors":"Anne L Marks, L. Wilkes, Stacy Blythe, R. Griffiths","doi":"10.1080/20573316.2015.1126938","DOIUrl":"https://doi.org/10.1080/20573316.2015.1126938","url":null,"abstract":"Aim: To explore how intensive insulin therapy is integrated into the primary school setting, to identify support strategies in order to inform policy and practice. Data sources: Articles between 2005 and 2015, children aged 4–12 years. Review methods: A meta-ethnographic comparative approach, using reciprocal translation and line of argument synthesis. Findings: Fourteen studies with qualitative data were included. Seven major metaphors were identified: Oh, it's needles, cover your back, worried about safety, great expectations, I'm not a diabetes expert, like everyone else and working together. Conclusion: A line of argument and conceptual model was developed from the metaphors and identified; competent diabetes care, risk management and a sense of normality and understanding as key areas that required addressing to improve integration of intensive insulin therapy. Collaboration and planning between the home, health, education and legal systems is also essential.","PeriodicalId":305627,"journal":{"name":"International Diabetes Nursing","volume":"29 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124284699","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Standing on their own feet: Experiences of young people living with Type 1 diabetes when entering adulthood — A qualitative study","authors":"Birgitta Lindberg, S. Söderberg","doi":"10.1080/20573316.2016.1170406","DOIUrl":"https://doi.org/10.1080/20573316.2016.1170406","url":null,"abstract":"Type 1 diabetes can complicate the lives of young people. The aim was to describe the experiences of young people living with Type 1 diabetes when entering adulthood. Nine young people were interviewed. The general principles of interpretative descriptions were used in the analysis. Results showed that young people with Type 1 diabetes lived a life like other young people, but they often had to face a lack of knowledge and understanding. Although they knew how to live, it was not easy to be in control. Even if they took responsibility for their illness, support was critically important. They did not think so much about how their illness might impact their future life. Overall, young people described their life situation positively and dealt with their diabetes naturally. To better support and facilitate the transition to adulthood, health care professionals who are engaged with young people living with Type 1 diabetes need to have better insight into how they experience their life.","PeriodicalId":305627,"journal":{"name":"International Diabetes Nursing","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126005159","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Quality of life and clinical parameters among Turkish patients with diabetes mellitus","authors":"Tuğba Meneklı Amac, A. Akyol","doi":"10.1080/20573316.2015.1135554","DOIUrl":"https://doi.org/10.1080/20573316.2015.1135554","url":null,"abstract":"Background: Diabetes mellitus (DM) may have profound effects on physical and emotional health and quality of life (QoL). Objective: The purpose of this study was to assess the QoL of patients with DM and to determine the clinical parameters and socio-demographic factors that affect the QoL of these patients. Methods: This is a descriptive study of 212 patients with DM attending the Ege University hospital, Izmir. Ferrans and powers QoL index diabetes version and a socio-demographic questionnaire was administered to assess QoL. Results: The majority of patients (57.5%) age groups were 45–51 and age mean was 44.34  ± 3.21. Most of the patients (63.7%) were female, 79.2% were married, 67.0% had complications. The mean HbA1c level was 7.89 ± 0.95%, fasting blood-glucose level was 117.25 ± 5.15 mg/dl, post-prandial blood-glucose level was 155.51 ± 5.39 mg/dl, Body mass index level was 36.40 ± 3.12 kg/m2. There was a positive relationship between the scores of QoL, subgroups and all demographic and clinical variables (p < 0.05). Conclusions: Lower income, lower education, low-rated employment and physical complications adversely affect the QoL of patients DM. Such factors need to be addressed by caregivers and nurses managing these patients.","PeriodicalId":305627,"journal":{"name":"International Diabetes Nursing","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121402615","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A study of pattern management performed by nurses certified in diabetes nursing in Japan and clarification of the related factors","authors":"M. Mizuno, Y. Shimizu, Natsuko Seto, Uchiumi Kyouko, Masaki Harue, Akane Hatanaka, M. Okura, Taki Nakahama","doi":"10.1080/20573316.2015.1103436","DOIUrl":"https://doi.org/10.1080/20573316.2015.1103436","url":null,"abstract":"Introduction: To reveal the actual conditions of blood glucose pattern management (BGPM) performed by nurses certified in diabetes nursing (DCNs) in Japan and clarification of the related factors. DCNs are the specialists for people with diabetes and are certified by the Japanese Nursing Association (JNA). BGPM refers to a method aimed at improving blood glucose control by ascertaining changes (patterns) in blood glucose levels and conducting a systematic and multi-dimensional analysis of the factors contributing to these patterns. Method: Subjects were DCNs (n = 303) whose names and affiliations were publicly available on the JNA website in November 2011. The study was conducted through a postal questionnaire, involving items about how they were conducting guidance, the details of the BGPM (i.e. method and target) and the state of their overview of facilities, from January 2012 to February 2012. Result: The questionnaire was returned by 148 respondents. Regarding the statement ‘Looking with the people with diabetes for patterns in their blood glucose levels brings unexpected discoveries’, 140 (95.2%) selected ‘Agree’ or ‘Somewhat agree’. The respondents’ coefficient analyses showed a significant correlation between ‘I am very good at finding changes (patterns) in blood glucose or HbA1c levels’ and ‘The doctors at our facility are cooperative when it comes to BGPM’. Conclusion: In this study, most of the DCNs performed BGPM for people with diabetes and recognized that performing BGPM has been useful for most people with diabetes. In addition, building a good relationship between doctors and nurses is suggested for performing BGPM effectively.","PeriodicalId":305627,"journal":{"name":"International Diabetes Nursing","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117128361","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"High rates of elevated diabetes distress in research populations: A systematic review and meta-analysis","authors":"Kathryn Dennick, J. Sturt, D. Hessler, E. Purssell, Benjamin M. Hunter, J. Oliver, L. Fisher","doi":"10.1080/20573316.2016.1202497","DOIUrl":"https://doi.org/10.1080/20573316.2016.1202497","url":null,"abstract":"Diabetes distress has implications for diabetes end-points, hence targeted interventions are indicated; yet, preliminary work quantifying and characterising the problem is required. We sought to identify the potential magnitude and determinants of elevated diabetes distress across study populations. Databases such as Medline, PsycINFO and Embase were searched for studies (n ≥50) administering the problem areas in Diabetes scale or Diabetes Distress scale, in adults with Type 1 or 2 diabetes. Random effects meta-analysis and meta-regression estimated the average rate of elevated diabetes distress and prognostic contribution of age, gender, HbA1c, and health-care context. Of the 16,627 citations identified, adequate data were available for 58 studies. On average, 22% of participants reported elevated diabetes distress. Only female gender and secondary care predicted a higher rate of elevated diabetes distress. A quarter of people with diabetes have a level of distress likely to impact outcomes. Secondary-care practitioners should be vigilant of women with diabetes.","PeriodicalId":305627,"journal":{"name":"International Diabetes Nursing","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130035634","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The mind of diabetes: a distressing tale","authors":"A. Forbes, Magdalena Annersten-Gershater","doi":"10.1179/2057331615Z.00000000014","DOIUrl":"https://doi.org/10.1179/2057331615Z.00000000014","url":null,"abstract":"We often see in people with diabetes that the disease causes psychological and emotional difficulties. These difficulties do not only cause disruption to the person’s self-management behaviours, with detrimental effects on their physical health, they can also be very disruptive to the person’s quality of life. Over the last few decades we have become increasingly aware that psychological morbidity is common in people with diabetes, with problems ranging from depression to eating disorders. We have also observed that these problems have a deleterious effect on patient outcomes, leading to further complications that compound the psychological problems experienced by the patient. However, despite this large body of understanding and a growing evidence that psychological interventions can be clinically beneficial, national and international reports consistently highlight that psychological support is lacking in most countries. In this edition of the journal we have two papers from the same research group that address diabetes distress. Diabetes distress while related to anxiety and depression reflects some of the specific psychological disruptions that a life with diabetes can bring. In the first paper the group present a systematic review of psychological interventions that aim to reduce diabetes distress. The review presents a comprehensive account of which interventions show some impact on diabetes distress. While they report that the interventions only show a modest effect, they do provide reference points for further developments in this field. Given the high prevalence of diabetes distress we must work with patients to refine, improve and create better interventions to tackle this problem. In the second paper the authors present a more clinical example with an intervention that was designed to respond and address diabetes distress. While this report does not show a definitive approach to managing distress as it had somewhat mixed results, it does show the importance of recognising the problem and developing appropriate psychological care pathways. Screening for problems is not really an ethical activity if we have nothing to offer patients. While ideally we should be able to provide effective treatments to support them, as a minimum, we should provide empathy and understanding. Elsewhere in this edition of the International Diabetes Nursing journal we find other tricks that diabetes can play on the mind. In this case those of a more organic nature, related to the physiological assault of the disease. In the paper by Butler et al. we see more data showing elevated risk of stroke in people with diabetes. This national study of stroke in Qatar not only shows diabetes to be an important risk factor but also significant variation between ethnic groups with a higher burden in Arabs. The report emphasises the important rolewemust all play in preventing strokes. In the paperofCaruso et al. another important issue of the mind is highlighted, that of cog","PeriodicalId":305627,"journal":{"name":"International Diabetes Nursing","volume":"97 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115718754","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Physical activity, dietary habits and cognitive decline in over 65 years Italian outpatients with type 2 diabetes: a cross-sectional pilot study","authors":"R. Caruso, A. Santucci, M. Caruso, F. Pittella, F. Dellafiore, S. Corbetta, E. Mosconi","doi":"10.1179/2057332415Y.0000000005","DOIUrl":"https://doi.org/10.1179/2057332415Y.0000000005","url":null,"abstract":"Abstract This pilot study aims to assess the relations between lifestyle and cognitive decline (CD) and to describe the prevalence of CD in outpatients over 65 years with type 2 diabetes mellitus (T2DM), examining the feasibility of a future research endeavor. This was a single-center pilot study, using a cross-sectional data collection. Lifestyles, including dietary habits and physical activities, were examined. To measure lifestyles, we used a self-report questionnaire aimed to explore seven domains: weekly consumption of bread, pasta, red meat, fish, alcohol, daily consumption of coffee, and weekly physical activities. To measure CD, the mini mental state examination was used. For the role of lifestyles in explaining cognitive functions, a multivariate regression model was used, where the physical activities and the diet treatment were the only significant predictors of cognitive efficiency. The model explained the 24% of the cognitive functions variance, showing a residuals normal distribution and no collinearity. This pilot study has some important limitations related to the study design. Nevertheless, it provides preliminary information to assess the feasibility of a future research endeavor, confirming the importance of lifestyles to prevent the CD in subjects with T2DM and giving cues for future investigation.","PeriodicalId":305627,"journal":{"name":"International Diabetes Nursing","volume":"111 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-07-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122513923","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Diabetes and stroke in Qatar: results of a prospective stroke register","authors":"J. Butler, P. Bourke","doi":"10.1179/2057332415Y.0000000003","DOIUrl":"https://doi.org/10.1179/2057332415Y.0000000003","url":null,"abstract":"Abstract Background Stroke prevalence is on the increase within Qatar, both within the local indigenous population and the migrants coming into the country for work. There is a perception that diabetes is a major contributing factor in many of the stroke patients but there is a lack of evidence. People with diabetes have a higher risk of stroke disease and within Qatar there has been a rise in people having stroke of 26% per 100,000 head of population in the last decade Aim A population-based study, which describes the epidemiology of stroke in respect to presenting HbA1c level. Methods The HbA1c level was recorded in 919 patients admitted to hospital during 2014 with a primary diagnosis of ischaemic or haemorrhagic stroke. The patients were divided into three groups according to their HbA1c levels: HbA1c≥ 6.5% (a diagnosis of diabetes), HbA1c 5.7–6.4% (pre-diabetes) and HbA1c≤ 5.6% (normal range). Each group was compared by subtype of stroke, ethnic group, age and gender. Results. The results indicate that Qataris and Arabs are more at risk than other ethnic groups of lacunar infarcts. The average age varies from 49 years for the West Pacific population to 67 years for Qataris. In Qatari nationals, the gender is almost equally divided. Conclusion The prevalence of HbA1c≥ 5.7% in the stroke population is on average 77%, whereas in the Qatari stroke population this rises to 88%. The group of patients with HbA1c≥ 6.5% features more prominently in all subtypes of ischaemic strokes.","PeriodicalId":305627,"journal":{"name":"International Diabetes Nursing","volume":"57 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124067010","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effective interventions for reducing diabetes distress: systematic review and meta-analysis","authors":"J. Sturt, Kathryn Dennick, D. Hessler, Benjamin M. Hunter, J. Oliver, L. Fisher","doi":"10.1179/2057332415Y.0000000004","DOIUrl":"https://doi.org/10.1179/2057332415Y.0000000004","url":null,"abstract":"Abstract Aims: To identify randomised controlled trials (RCTs) in which diabetes distress (DD) was assessed in adults under experimental conditions and to undertake meta-analysis of intervention components to determine effective interventions for reducing DD. Methods: Systematic review searching Medline, Psychinfo and Embase to March 2013 for studies measuring DD. Two reviewers assessed citations and full papers for eligibility based on RCT design and Problem Areas in Diabetes Scale or Diabetes Distress Scale outcome measure. Interventions were categorised by content and medium of delivery. Meta-analyses were undertaken by intervention category where ≥7 studies were available. Standardised mean differences and 95% confidence intervals were computed and combined in a random effects meta-analysis. Results: Of 16 627 citations reviewed, 41 RCTs involving 6650 participants were included. Twenty-one a priori meta-analyses were undertaken. Effective interventions were psycho-education (−0.21 [−0.33, −0.09]), generalist interventionist (−0.19 [−0.31, −0.08]), ≥6 sessions (−0.14 [−0.26, −0.03]) and ≥3 months duration (−0.14 [−0.24, −0.03]). Motivational interviewing reduced DD (−0.09 [−0.18, −0.00]) and improved baseline elevated glycaemia (−0.16 [−0.28, −0.04]). Although statistical significance was observed most effect sizes were below 0.2. Conclusion: The review signposts interventions likely to reduce elevated DD in Type 1 and Type 2 and across the age profile. Interventional research is needed and warranted targeting elevated distress.","PeriodicalId":305627,"journal":{"name":"International Diabetes Nursing","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131860145","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"What characterises diabetes distress and its resolution? A documentary analysis","authors":"J. Sturt, Kate McCarthy, Kathryn Dennick, M. Narasimha, S. Sankar, Sudhesh Kumar","doi":"10.1179/2057332415Y.0000000002","DOIUrl":"https://doi.org/10.1179/2057332415Y.0000000002","url":null,"abstract":"Abstract Objective Cross-sectional studies show that diabetes distress (DD) is associated with HbA1c and depressive symptoms in individuals with Type 1 and Type 2 diabetes. Evidence of association with self-management behaviour is contradictory. Little qualitative evidence exists to understand the manifestation of DD. Our objective was to understand the documented experience of DD and its resolution. Methods A psycho-social care clinic using evidence-based approaches was developed in a hospital diabetes centre serving Type 1 and Type 2 diabetes populations. People were referred by specialist diabetes clinicians when they were ‘struggling to cope’ with their diabetes. Detailed clinical notes captured the origins, characteristics and process of resolution of referred patients’ DD. Documentary clinical notes retrospective analysis used directed content analysis. DD was assessed by the Problem Areas in Diabetes Scale (PAID) at referral. Results Eighty-two people were referred and 70 people attended 202 consultations. Forty-one sets of case notes were included where people attended ≥2 appointments; of whom, 24 experienced elevated DD, 13 had elevated DD plus established psychological morbidity and 4 had general distress unrelated to their diabetes. Mean PAID score was 53. Individuals with DD only experienced mastery of their diabetes, using the psycho-social care service to increase self-care behaviours. Individuals with DD plus established psychological morbidity were unable to increase their self-care. Conclusions People ‘struggling to cope’ are most likely to be experiencing elevated DD only. People with DD only were able to resolve this through access to clinic-run psycho-social care. Practice Implications Health professionals should routinely assess for coping and distress in their care planning. Psycho-social care pathways are important for people with elevated DD.","PeriodicalId":305627,"journal":{"name":"International Diabetes Nursing","volume":"57 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116113238","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}