Evolving self-care in individuals with schizophrenia and diabetes mellitus
Evolving self-care in individuals with schizophrenia and diabetes mellitus
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DOI：
10.1016/j.apnu.2005.09.002
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发表时间：
2006-04-01
影响因子：
2.3
通讯作者：
El-Mallakh, P
中科院分区：
文献类型：
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作者：
El-Mallakh, P
与一般人群相比，精神分裂症患者的糖尿病发病率较高，但人们对他们的糖尿病自我护理知之甚少。这项扎根理论研究的目的是为患有精神分裂症/分裂情感障碍和糖尿病的患者制定自我护理理论。对 11 名具有不同程度护理这些共存疾病的能力的受访者进行了 26 次访谈。受访者认为精神症状是糖尿病自我护理的主要或障碍。由此产生的自我保健理论描述了受访者随着时间的推移发展自我保健健康信念以帮助他们成功管理精神疾病和糖尿病的过程。类别包括控制精神疾病、适应糖尿病和努力健康。在为精神分裂症/分裂情感障碍和糖尿病患者提供护理时，鼓励高级注册护士就精神病对糖尿病自我护理的负面影响进行教育。 (c) 2006 Elsevier Inc. 保留所有权利。
Individuals with schizophrenia have higher rates of diabetes mellitus as compared with the general population, but little is known about their diabetic self-care. This grounded theory study was conducted to develop a theory of self-care for individuals with comorbid schizophrenia/schizoaffective disorder and diabetes. Twenty-six interviews were conducted among 11 respondents with varying degrees of ability to care for these coexisting illnesses. Respondents identified psychiatric symptoms as a major or barrier to diabetic self-care. The resulting theory of Evolving Self-Care describes the process by which respondents developed self-care health beliefs over time to help them successfully manage their psychiatric disorder and diabetes. Categories include mastering mental illness, accommodating diabetes, and striving for health. When providing care to patients with schizophrenia/schizoaffective disorder and diabetes, advanced registered nurse practitioners are encouraged to provide education about the negative consequences of psychosis on diabetes self-care. (c) 2006 Elsevier Inc. All rights reserved.