Abstract

TANQUEIRO, Maria Teresa de Oliveira Soares. Self-care management in older people with diabetes: systematic review of literature. Rev. Enf. Ref. [online]. 2013, vol.serIII, n.9, pp.151-160. ISSN 0874-0283.  https://doi.org/10.12707/RIII1202.

In Portugal, the prevalence of diabetes is 11.7%, affecting primarily older people and related to social and cultural changes, changes in lifestyles, risk behaviors and an aging population (Observatório Nacional da Diabetes, 2012). The answer to this problem requires that we assume the development of the capacity for self-care to be essential. With the aim of identifying influences on the management of self-care in older people with diabetes, a systematic literature review was carried out, selecting 9 articles, published between 2000-2010, identified on electronic databases from the EBSCOhost platform, selected based on predefined criteria and with critical evaluation of the results. Interfering factors in the acquisition of skills of self-care and its management were summarized as: Personal context, with the main inhibiting factors being age, gender, decreased functional ability and visual acuity, duration, knowledge and understanding of the disease; Social situation, showing as limiting factors socio-economic status and education level; Care support, partnerships and programs of supervision in the promotion and continuity of self-care. The importance of nurses emerged in giving proactive support that provides incentives and promotes responsibility, implying the need for effective communication with older people with diabetes and their informal caregivers, and partnership in prioritizating the development personal practices and training in the skills needed for the management of self-care.

Keywords : nurse; self-care; elderly; diabetes mellitus.

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