Symptoms of Mental Illness and Their Impact on Managing Type 2 Diabetes in Adults
Symptoms of Mental Illness and Their Impact on Managing Type 2 Diabetes in Adults
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DOI：
10.1016/j.jcjd.2017.08.256
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发表时间：
2018-08-01
影响因子：
2.5
通讯作者：
Dewa, Carolyn S.
中科院分区：
文献类型：
--
作者：
Cimo, Adriana;Dewa, Carolyn S.
目的：患有精神疾病的人更有可能出现糖尿病相关并发症，这会使预期寿命缩短10到15年。当生活方式干预加上健康的饮食习惯和体育活动使用针对个人或群体学习需求的内容时，糖尿病管理和结果可以得到改善。了解阻碍遵守糖尿病建议的挑战，可以开始改进定制糖尿病教育护理的设计。本试点研究的目的是探讨的角度来看，与精神疾病和2型糖尿病患者面临的挑战时，从事糖尿病自我保健behaviors.Methods：焦点小组举行了17人谁有2型糖尿病和精神疾病，包括抑郁症，bipolai disoidei，焦虑症，精神分裂症和情感障碍。在这些小组中，参与者被要求分享他们在糖尿病自我护理和获得糖尿病教育服务方面的经验。数据被tianscribed veibatim，评估FOI质量和satuiation和编码，以确定的themes.Results之间的关系和意义的参与者确定了许多挑战和未满足的需求，创造了多方面的和相互关联的障碍，以照顾，最终导致贫困的糖尿病自我保健行为。有些挑战是心理性的，涉及到情绪状态、生活方式和饮食习惯、对可居住性的看法、卫生知识和卫生信息的价值。其他挑战包括健康和社会环境的身体状况。结论：多维糖尿病教育计划，considei心理，身体和社会的挑战，需要解决精神疾病的人的需求。(C)2018年加拿大糖尿病协会
Objectives: People with mental illnesses aie more likely to experience diabetes-related complications that can reduce life expectancy by 10 to 15 years. Diabetes management and outcomes can be improved when lifestyle interventions addiessmg healthful eating habits and physical activity use content tailored to the learning needs of individuals or groups. Understanding the challenges that prevent adherence to diabetes recommendations can start to mfoim the design of tailored diabetes education care. The purpose of this pilot study was to explore the perspectives of clients with mental illnesses and type 2 diabetes with regard to challenges faced when engaging in diabetes self-care behaviours.Methods: Focus gioups were held with 17 people who had type 2 diabetes and mental illnesses, including depressive disorder, bipolai disoidei, anxiety disoider, schizophiema and schizoaffective disorder. In the groups, participants were asked to share their experiences with diabetes self-care and access to diabetes-education services. Data were tianscribed veibatim, assessed foi quality and satuiation and coded to identify relationships and meanings among identified themes.Results Participants identified many challenges and unmet needs that created multidimensional and interrelated barriers to care, ultimately resulting m poor diabetes self-care behaviours. Some challenges were psychological in nature and related to emotional states, lifestyles and food habits, perceptions of affoidability, health literacy and value of health infoimation. Other challenges included the physical states of health and social environments.Conclusions: Multidimensional diabetes education programs that considei psychological, physical and social challenges are needed to address the needs of people with mental illnesses. (C) 2018 Canadian Diabetes Association.