A Study of Effective Nursing Intervention for Acceptance and Administration of Diabetes Mellitus by Patients with Diabetes plus Chronically Mental Illness

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1.The first purpose of this study was to investigate the actual conditions and problems of inpatients with both mental disorders and diabetes mellitus. Among 4188 inpatients with mental disorders in 20 institutions, 272 patients were diagnosed with diabetes mellitus. The results suggested that lack of self-control and interest in diabetes mellitus is a factor that is associated with difficulty of self-care for diabetes mellitus.2.The second purpose of this study was to investigate nursing intervention methods for self-care for diabetes mellitus in patients together with mental disorders and diabetes. Twenty-nine patients were analyzed by using the Modified Grounded Theory Approach. Three categories were extracted as patient characteristics that are associated with self-care for diabetes mellitus : "characteristic that affects the acceptance of diabetes mellitus", "characteristic that affects treatment volition", and "characteristic that affects treatment continuation". The analysis suggested that nursing interventions are effective for "characteristic that affects treatment volition" and "characteristic that affects treatment continuation".