Experiences of community-dwelling frail older adults with diabetes: Using phenomenological methods
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Purpose: This study explored the meaning and essence of life experiences among community-dwelling frail older adults with diabetes. Methods: This study used Giorgi’s phenomenological methods to analyze in-depth interviews with 16 people who were diagnosed with diabetes and scored 3~5 on the Korean version of the fatigue, resistance, ambulation, illnesses, and loss of weight (FRAIL) Scale. Participants were recruited from a public health and a senior welfare center in OO province of South Korea. Results: The data analysis revealed four essential themes and 12 subthemes derived from the interview data. These themes provided valuable insights into the experiences of frail older people with diabetes and shed light on their perspectives and challenges. The four essential themes were as follows: A feeble body falling into a bottomless pit, a narrowed range of activity, enduring heavy emotional burden, and the prospect of being supported for life. Conclusion: This study revealed that community-dwelling frail older individuals with diabetes experience physical, psychological, and social frailty, exacerbating the need for aggressive diabetes management. These findings underscore the importance of providing holistic care to support this population in managing both diabetes and frailty.
Abstract
Purpose: This study explored the meaning and essence of life experiences among community-dwelling frail older adults with diabetes. Methods: This study used Giorgi’s phenomenological methods to analyze in-depth interviews with 16 people who were diagnosed with diabetes and scored 3~5 on the Korean version of the fatigue, resistance, ambulation, illnesses, and loss of weight (FRAIL) Scale. Participants were recruited from a public health and a senior welfare center in OO province of South Korea. Results: The data analysis revealed four essential themes and 12 subthemes derived from the interview data. These themes provided valuable insights into the experiences of frail older people with diabetes and shed light on their perspectives and challenges. The four essential themes were as follows: A feeble body falling into a bottomless pit, a narrowed range of activity, enduring heavy emotional burden, and the prospect of being supported for life. Conclusion: This study revealed that community-dwelling frail older individuals with diabetes experience physical, psychological, and social frailty, exacerbating the need for aggressive diabetes management. These findings underscore the importance of providing holistic care to support this population in managing both diabetes and frailty.
참고문헌 (30)
- "IDF diabetes atlas" (2019)[URL]
- Strain WD, "Type 2 diabetes mellitus in older people: a brief statement of key principles of modern day management including the assessment of frailty. A national collaborative stakeholder initiative", Diabetic Medicine, 35(7), pp.838~845 (2018)[DOI]
- Fried LP, "Untangling the concepts of disability, frailty, and comorbidity : implications for improved targeting and care", The Journals of Gerontology : Series A, 59(3), pp.255~263 (2004)[DOI]
- Hanlon P, "Frailty measurement, prevalence, incidence, and clinical implications in people with diabetes : a systematic review and study-level meta-analysis", The Lancet : Healthy Longevity, 1(3), pp.e106~e116 (2020)[DOI]
- Atiénzar P, "Diabetes and frailty: an emerging issue. Part 2: linking factors", The British Journal of Diabetes & Vascular Disease, 12(3), pp.119~122 (2012)[DOI]
- Izzo A, "A narrative review on sarcopenia in type 2 diabetes mellitus : prevalence and associated factors", Nutrients, 13(1), pp.183~ (2021)[DOI]
- Hazuda HP, "Prevention of falls and frailty in older adults with diabetes", Current Geriatrics Reports, 6, pp.158~167 (2017)[DOI]
- Lim SC, "Intervention strategies for older adults with diabetes", The Journal of Korean Diabetes, 13(1), pp.52~55 (2012)[DOI]
- Sinclair AJ, "Multimorbidity, frailty and diabetes in older people : identifying interrelationships and outcomes", Journal of Personalized Medicine, 12(11), pp.1911~ (2022)[DOI]
- Chang SJ, "Special considerations in diabetes self-management education for older adults with diabetes : a study focusing on community senior welfare centers", The Journal of Korean Diabetes, 21(4), pp.211~215 (2020)[DOI]
- Badriah S, "Family support in caring for older people with diabetes mellitus : a phenomenology study", Enfermería Clínica, 28(Supl 1 Part A), pp.245~249 (2018)[DOI]
- Song M, "Barriers to and facilitators of self-management adherence in Korean older adults with type 2 diabetes", International Journal of Older People Nursing, 5(3), pp.211~218 (2010)[DOI]
- Sung K, "Experience as a vulnerable elderly individual with diabetes", Journal of Korean Public Health Nursing, 31(1), pp.149~161 (2017)[DOI]
- Joo JY, "Barriers to and facilitators of diabetes self-management with elderly Korean-American immigrants", International Nursing Review, 63(2), pp.277~284 (2016)[DOI]
- Li J, "A systematic review of the experience of older women living and coping with type 2 diabetes", International Journal of Nursing Practice, 20(2), pp.126~134 (2014)[DOI]
- Kim J, "Self-rated health of frail elders", Journal of Korean Gerontological Nursing, 17(2), pp.98~107 (2015)[DOI]
- Park JK, "Experience of frailty in Korean elderly : a phenomenological study utilizing the Colaizzi method", Journal of Korean Academy of Nursing, 47(4), pp.562~574 (2017)[DOI]
- Taube E, "Being in a Bubble : the experience of loneliness among frail older people", Journal of Advanced Nursing, 72(3), pp.631~640 (2016)[DOI]
- van Kempen JA, "Home visits for frail older people : a qualitative study on the needs and preferences of frail older people and their informal caregivers", British Journal of General Practice, 62(601), pp.e554~e560 (2012)[DOI]
- Warmoth K, "‘Thinking you’re old and frail’ : a qualitative study of frailty in older adults", Ageing & Society, 36(7), pp.1483~1500 (2016)[DOI]
- Shin JW, "Home-dwelling older adults’ experiences of living with both frailty and multimorbidity : a meta-ethnography", Geriatric Nursing, 47, pp.191~200 (2022)[DOI]
- Sjöberg M, "Being disconnected from life : meanings of existential loneliness as narrated by frail older people", Aging & Mental Health, 22(10), pp.1357~1364 (2018)[DOI]
- Giorgi AP, "Phenomenology and psychological research", pp.8~22 (1985), Duquesne University Press
- Jung HW, "The Korean version of the FRAIL scale : clinical feasibility and validity of assessing the frailty status of Korean elderly", The Korean Journal of Internal Medicine, 31(3), pp.594~600 (2016)[DOI]
- Han JW, "A normative study of the Mini-Mental State Examination for Dementia Screening(MMSE-DS)and its short form(SMMSE-DS)in the Korean elderly", Journal of Korean Geriatric Psychiatry, 14(1), pp.27~37 (2010)
- Guba EG, "Fourth generation evaluation" (1989), Sage Publications, Inc
- Chen LK, "Care of elderly patients with diabetes mellitus : a focus on frailty", Ageing Research Reviews, 1, pp.S18~S22 (2010)[DOI]
- Woo J, "Social determinants of frailty", Gerontology, 51(6), pp.402~408 (2005)[DOI]
- Choi S, "Strategies for enhancing information, motivation, and skills for self-management behavior changes : a qualitative study of diabetes care for older adults in Korea", Patient Preference and Adherence, 8, pp.219~226 (2014)[DOI]
- Nguyen TNM, "Systematic review of perception of barriers and facilitators to chronic disease self-management among older adults : implications for evidence-based practice", Worldviews on Evidence-Based Nursing, 19(3), pp.191~200 (2022)[DOI]