Work

Exploring Care Challenges and Needs of People With Diabetes Comorbid Cognitive Impairment From the Triangular Perspectives

Year: 2025

Type: article

Abstract: The study explored the challenges and needs in diabetes care for people with diabetes and comorbid cognitive impairment from the triangular perspectives of diabetes educators, patients, and family caregivers. The study employed a phenomenological research design with qualitative data collection, involving semi-structured interviews with 8 diabetes educators, 7 patients, and 6 caregivers. The data were gathered from a health education center in a hospital in Taiwan. Thematic analysis was utilized to analyze the qualitative data. Three categories with eight themes emerged. Challenges included "care challenges in compliance", "limited family involvement", and "caregiver distress". Needs were identified as "training for educators on cognitive impairments", "caregiver education", and "standard care procedures". Clinical realities showed "inconsistent awareness" and "lack of consensus on resource referrals among professionals". Diabetes care for people with cognitive impairment faces challenges including poor compliance and limited family cooperation, requiring better comorbidity training for educators and caregivers, and standardized care procedures for healthcare professionals. Findings can guide future training programs and serve as a resource for caregivers.

Source: Nursing and Health Sciences

DOI: 10.1111/nhs.70081

Authors: Wan‐Ching Shen, Jong‐Ni Lin, Shao‐Hua Chan, Li Yuh‐Shiow, Jing‐Jy Wang

Institutions: National Cheng Kung University, Dayeh University, National Cheng Kung University Hospital, Chang Gung University of Science and Technology

Language: English

Topic: Diabetes Management and Education

Subfield: Endocrinology, Diabetes and Metabolism

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: bronze

Funder: National Cheng Kung University Hospital