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Diabetes self‐care behaviors in adults with disabilities: A systematic review
Author(s) -
Yang Eunjin,
Kim Hee Jung,
Ryu Hyunju,
Chang Sun Ju
Publication year - 2020
Publication title -
japan journal of nursing science
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.363
H-Index - 17
eISSN - 1742-7924
pISSN - 1742-7932
DOI - 10.1111/jjns.12289
Subject(s) - facilitator , cinahl , medline , cochrane library , systematic review , medicine , health care , type 2 diabetes , psychology , gerontology , nursing , diabetes mellitus , alternative medicine , psychological intervention , social psychology , political science , law , economics , economic growth , pathology , endocrinology
Aim The integrated evidence on diabetes self‐care behaviors in people with a disability is not commensurate with the growing number of people with both diabetes and a disability. This study aims to identify factors influencing self‐care behaviors in adults with diabetes and a disability based on a thorough review of the current evidence. Methods This review followed the Cochrane guidelines for systematic review research and complies with the Preferred Reporting Items for Systematic Reviews and Meta‐Analysis. To find eligible articles, five electronic databases—PubMed, Embase, CINAHL, Psych‐articles, and the Cochrane Library—were searched, from the beginning of the chronological period covered by each database to June 2017. Four researchers independently conducted study selections, extracted data, and assessed the data quality. Results Twenty studies were reviewed to identify barriers to and facilitators of diabetes self‐care behaviors. For people with developmental disabilities, the most prominent facilitator of self‐care behaviors was the support they received for the behaviors. For people with visual impairments, that facilitator was the use of helpful assistive devices that take advantage of another sense. The main barriers to self‐care behaviors were mobility limitation for people with physical disabilities and lack of accessibility for people with visual impairments. Conclusions This review has identified barriers to and facilitators of diabetes self‐care behaviors by type of disability. Healthcare services need to be tailored to these facilitators and barriers, and differentiated by type of disability.