Chen-Mei Chen1, Mei Chang Yeh. 1. Department of Nursing, Chang Gung University of Science and Technology, Taipei, Taiwan; Department of Nursing, College of Medicine, National Taiwan University, Taipei, Taiwan.
Abstract
AIMS AND OBJECTIVES: To interpret, describe and analyse the results of various qualitative studies and comprehensively elucidate the self-monitoring of blood glucose experiences of diabetic patients, and to make recommendations based on these findings for clinical practices. BACKGROUND: Patients exhibited both positive and negative perceptions towards the self-monitoring of blood glucose. Numerous recent qualitative studies have explored the self-monitoring of blood glucose experiences of diabetic patients; however, no integrated results have been provided. DESIGN: Qualitative metasynthesis. METHODS: A systematic literature search of English and Chinese databases was undertaken, covering the period between January 2004 and April 2014. The following databases were searched: CINAHL, PubMed, MEDLINE, Cochrane Library, Airiti library and PsycInfo. Seven studies were assessed in the final analysis; the Joanna Briggs Institute Qualitative Assessment and Review Instrument was used to evaluate these studies. RESULTS: The self-monitoring experiences of patients with diabetes were divided into five themes: perceived disease severity, effects on daily life, lifestyle adjustments after becoming aware of blood glucose levels, determining the meaning of self-monitoring, and the differences between diabetic patients who use and do not use insulin. Individual differences in blood glucose self-monitoring vary widely among diabetic patients. CONCLUSIONS: These differences result from personal cognition and feelings concerning blood glucose monitoring. Insights into and discussions regarding the self-monitoring of blood glucose experiences of diabetic patients enable health care professionals to understand the factors that influence the intentions of patients to perform self-monitoring of blood glucose and facilitate establishing customised self-monitoring of blood glucose treatment plans. RELEVANCE TO CLINICAL PRACTICE: Health care professionals must adopt flexible and individualised criteria to determine patient cognitive misconceptions, understand negative emotional reactions and provide individualised assistance.
AIMS AND OBJECTIVES: To interpret, describe and analyse the results of various qualitative studies and comprehensively elucidate the self-monitoring of blood glucose experiences of diabeticpatients, and to make recommendations based on these findings for clinical practices. BACKGROUND:Patients exhibited both positive and negative perceptions towards the self-monitoring of blood glucose. Numerous recent qualitative studies have explored the self-monitoring of blood glucose experiences of diabeticpatients; however, no integrated results have been provided. DESIGN: Qualitative metasynthesis. METHODS: A systematic literature search of English and Chinese databases was undertaken, covering the period between January 2004 and April 2014. The following databases were searched: CINAHL, PubMed, MEDLINE, Cochrane Library, Airiti library and PsycInfo. Seven studies were assessed in the final analysis; the Joanna Briggs Institute Qualitative Assessment and Review Instrument was used to evaluate these studies. RESULTS: The self-monitoring experiences of patients with diabetes were divided into five themes: perceived disease severity, effects on daily life, lifestyle adjustments after becoming aware of blood glucose levels, determining the meaning of self-monitoring, and the differences between diabeticpatients who use and do not use insulin. Individual differences in blood glucose self-monitoring vary widely among diabeticpatients. CONCLUSIONS: These differences result from personal cognition and feelings concerning blood glucose monitoring. Insights into and discussions regarding the self-monitoring of blood glucose experiences of diabeticpatients enable health care professionals to understand the factors that influence the intentions of patients to perform self-monitoring of blood glucose and facilitate establishing customised self-monitoring of blood glucose treatment plans. RELEVANCE TO CLINICAL PRACTICE: Health care professionals must adopt flexible and individualised criteria to determine patient cognitive misconceptions, understand negative emotional reactions and provide individualised assistance.
Authors: Janet Hanley; Peter Fairbrother; Lucy McCloughan; Claudia Pagliari; Mary Paterson; Hilary Pinnock; Aziz Sheikh; Sarah Wild; Brian McKinstry Journal: BMJ Open Date: 2015-12-23 Impact factor: 2.692
Authors: Ena Niño de Guzmán Quispe; Laura Martínez García; Carola Orrego Villagrán; Monique Heijmans; Rosa Sunol; David Fraile-Navarro; Javier Pérez-Bracchiglione; Lyudmil Ninov; Karla Salas-Gama; Andrés Viteri García; Pablo Alonso-Coello Journal: Patient Date: 2021-04-19 Impact factor: 3.883