Evaluation of Relocation Stress Intervention for Elderly Residents with Diabetes in Nursing Home: A Systematic Review

Monday, 30 July 2012

Yueh-Ying Yang, BSN, RN
Department of Nursing, Shu Zen College of Medicine and Management, Kaohsiung, Taiwan
Shu-Ming Chen, PhD
Nursing, Fooyin University, Kaohsiung, Taiwan

Learning Objective 1: The learner will be able to understand the relocation stress intervention in elderly residents with diabetes in nursing home.

Learning Objective 2: The learner will be able to describe the evidence limitations of nursing intervention for relocation stress of elderly residents with diabetes.

Purpose/target population: A systematic review was undertaken to assess the effectiveness of relocation stress intervention for diabetes elderly in order to propose a formal intervention program for application in diabetes nursing care.

Methods: This study used a systematic review method and searched six databases including CINAHL, MEDLINE, ProQuest nursing, PubMed, Cochrane Library and CEPT. The search focused only on articles published between 20000 and 2010 using the keyword “relocation stress ” together with either “Diabetes in nursing home” or “migration stress”. An initial 499 articles were identified. After filtering based on inclusion criteria and excluding duplicates, the authors selected the remaining 25 articles for further analysis and synthesis. Research quality of reviewed studies was assessed by hierarchy of evidence using the modified standard system as used by the Clinical Outcomes Group.

Results: Most of the studies explored relocation stress with morbidity and mortality, and limited to nursing intervention for relocation stress of elderly residents with diabetes in nursing home.

Conclusion: Available data do not allow for definite answer on relocation stress for elderly residents with diabetes in nursing home, as most studies suffer from weaknesses in design and methodological flaws. Reviewing the quality of intervention research methods among studies offered a consideration in the future research design of relocation stress studies.