Doing my best: Poverty and self-care among individuals with schizophrenia and diabetes mellitus
Doing my best: Poverty and self-care among individuals with schizophrenia and diabetes mellitus
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DOI：
10.1016/j.apnu.2006.10.004
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发表时间：
2007-02-01
影响因子：
2.3
通讯作者：
El-Mallakh, Peggy
中科院分区：
文献类型：
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作者：
El-Mallakh, Peggy
糖尿病（DM）在精神分裂症/情感性精神障碍患者中比在一般人群中更常见。11名被诊断患有精神分裂症/情感障碍和糖尿病共病的精神健康消费者参加了一项扎根理论研究，研究了他们对糖尿病自我护理的方法。由此产生的模型，不断发展的自我保健，描述了受访者发展的双重疾病的自我保健的健康信念的过程。该模型的一个子类别，尽我所能，进一步分析，以检查受访者的糖尿病自我护理的社会背景。有限的财政资源和物质匮乏妨碍了获得充分的糖尿病自我护理所需的资源。鼓励精神卫生提供者提供与精神分裂症患者的真实的世界生活状况相一致的治疗和患者教育。联邦和州一级的政策制定者需要解决精神卫生服务资金对患有严重精神疾病的弱势个人整体健康的影响。(c)2007爱思唯尔公司All rights reserved.
Diabetes mellitus (DM) is more common among individuals with schizophrenia/schizoaffective disorders than among the general population. Eleven mental health consumers diagnosed with comorbid schizophrenia/ schizoaffective disorder and DM participated in a grounded theory study that examined their approaches to diabetic self-care. The resulting model, Evolving Self -Care, describes the process by which respondents developed health beliefs about the self-care of dual illnesses. One subcategory of the model, Doing My Best, was further analyzed to examine the social context of respondents' diabetic self-care. Limited financial resources and material deprivation interfered with access to the resources necessary for adequate diabetic self-care. Mental health providers are encouraged to provide treatment and patient education that are consistent with the real world living situations of individuals with schizophrenia. Policymakers at the federal and state levels need to address the impact of financing of mental health services on the overall health of vulnerable individuals with serious mental illnesses. (c) 2007 Elsevier Inc. All rights reserved.