"I Am Not Alone": A Photovoice Exploration of Diabetes Self-Management for Older Persons in Rural Ontario, Canada.

Lenora Duhn, Madison Robertson, Idevania Costa, Beatriz Alvarado, Geneviève C Paré, Pilar Camargo-Plazas
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Abstract

Objective: To explore diabetes self-management for older adults in rural Ontario.

Methods: Fourteen adults, 65 and older, with diabetes, participated in this study using a participatory, art-based approach involving photovoice and semi-structured interviews. Data underwent hermeneutic phenomenology analysis.

Findings: Four themes emerged, elucidating the lived experiences of participants managing diabetes in a rural context.

Discussion: This study underscores the challenges and strategies of diabetes self-management in rural older adults. A holistic approach, encompassing physical, emotional, and mental well-being, is pivotal, augmented by proactive lifestyle choices. Effective coordination in medication management and enhanced communication among health care providers emerged as essential. The unique role of pets illuminates their profound impact on participants' activity levels and emotional fortitude, suggesting they can be vital assets in diabetes care. Collectively, these findings guide health professionals and policymakers in crafting nuanced, context-sensitive interventions to optimize diabetes management for older adults in rural contexts.

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目的:探讨安大略省农村地区老年人的糖尿病自我管理问题:探讨安大略省农村地区老年人的糖尿病自我管理问题:14 名 65 岁及以上的成人糖尿病患者参与了这项研究,研究采用参与式艺术方法,包括摄影选择和半结构化访谈。对数据进行了诠释现象学分析:出现了四个主题,阐明了参与者在农村环境中管理糖尿病的生活经验:本研究强调了农村老年人自我管理糖尿病所面临的挑战和策略。在积极主动地选择生活方式的基础上,包括身体、情感和精神健康在内的整体方法至关重要。有效协调药物管理和加强医疗服务提供者之间的沟通至关重要。宠物的独特作用揭示了它们对参与者的活动水平和情绪坚韧性的深远影响,表明它们可以成为糖尿病护理的重要资产。总之,这些研究结果将指导医疗专业人员和政策制定者制定细致入微、因地制宜的干预措施,以优化农村地区老年人的糖尿病管理。
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来源期刊
CiteScore
4.00
自引率
4.80%
发文量
32
期刊介绍: We are pleased to announce the launch of the CJNR digital archive, an online archive available through the McGill University Library, and hosted by the McGill University Library Digital Collections Program in perpetuity. This archive has been made possible through a Richard M. Tomlinson Digital Library Innovation and Access Award to the McGill School of Nursing. The Richard M. Tomlinson award recognizes the ongoing contribution and commitment the CJNR has made to the McGill School of Nursing, and to the development and nursing science in Canada and worldwide. We hope this archive proves to be an invaluable research tool for researchers in Nursing and other faculties.
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