SELF-CARE OF OLDER PERSONS LIVING WITH DIABETES IN VIETNAM: A QUALITATIVE STUDY

This study aimed to describe the meaning of “self-care” from the perspectives of older persons living with diabetes and explored the self-care behaviors of older persons living with diabetes. The qualitative method was applied in this study. Data were collected by in-depth interview of 16 older persons with Type 2 diabetes in Vietnam. In addition, field note and observation note were written on the reflections, ideas, and meaning of self-care and self-care practices during the data collection process. All data were analyzed by using content analysis method. The results of the study were reflected the self-care from the perspective of older people with type 2 diabetes. The informants in this study stated the meaning of the disease as diabetes is a disease of “sugar pee”; and diabetes is the “lifelong” and “forever” disease. The first objective in this study is that “Meaning self-care” which including 2 themes 1) Self-responsibility to take care of self for the lifelong, and 2) Seeking information to take good care of self. And the second objective is “Self-care practices” with including 7 themes: 1) Self-monitoring of blood sugar level, 2) Taking diabetes medication regularly, 3) Control eating but it is difficult, 4) Doing some physical activities to get sweat, 5) Caring for their foot, 6) Living with the disease, 7) Taking home remedies. This qualitative research methodology expands the understanding of the context in which finding the meaning of self-care, diabetes self- care occurred and how they used to manage their diabetes. Developing interventions for Vietnamese older persons with diabetes could help them to manage their diabetes mellitus and prevent or delay diabetes related complications. So, the nurses should focus on each person with Type 2 diabetes and evaluate the patients to facilitate greater understanding of the patients’ knowledge structures to have the plan for health education in accordance with their individual conditions, circumstances and culture.本研究旨在从糖尿病老年患者的视角阐释自我照护（self-care）的内涵，并探究糖尿病老年患者的自我照护行为。本研究采用质性研究方法，通过对越南16名2型糖尿病（Type 2 diabetes）老年患者开展深度访谈收集数据。此外，在数据收集过程中，研究者同步撰写现场笔记与观察笔记，记录关于自我照护的内涵、理念及自我照护实践的相关思考与感悟。所有数据均采用内容分析法（content analysis method）进行分析。本研究结果呈现了2型糖尿病老年患者视角下的自我照护内涵：受访对象将糖尿病的疾病内涵表述为“尿糖”病症，且认为糖尿病是一种“终身性”“永久性”疾病。本研究的第一目标为“自我照护的内涵”，包含2个主题：1）终身承担自我照护的责任；2）主动获取信息以做好自我照护。第二目标为“自我照护实践”，包含7个主题：1）血糖水平自我监测；2）规律服用降糖药物；3）难以践行的饮食控制；4）进行适度运动以出汗；5）足部护理；6）与疾病共存；7）采用家庭疗法。本质性研究方法拓展了学界对自我照护内涵的形成场景、糖尿病自我照护的发生情境，以及患者如何管理自身糖尿病的认知边界。针对越南糖尿病老年患者制定个性化干预方案，可帮助其更好地管理糖尿病，预防或延缓糖尿病相关并发症的发生。因此，护理人员应关注每一位2型糖尿病患者，对患者进行全面评估，以深入理解患者的知识体系与认知特点，进而结合其个体状况、所处环境与文化背景，制定适配的个性化健康教育方案。

搜集汇总

背景与挑战

背景概述

该数据集是2017年由朱拉隆功大学发布的一项定性研究，聚焦于越南老年2型糖尿病患者的自我护理。研究通过深度访谈16名患者，探讨了他们对自我护理的理解和具体实践行为，包括自我监测血糖、规律服药、饮食控制等七个主题。研究结果旨在帮助开发针对性的干预措施，以改善糖尿病管理和预防并发症。