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

1.本研究的第一个目的是调查精神障碍合并糖尿病住院患者的实际情况和问题。在20所医院的4188名精神障碍住院患者中，有272名患者被诊断为糖尿病。结果提示，糖尿病患者自我控制能力差、对糖尿病缺乏兴趣是糖尿病患者自我护理困难的一个相关因素。本研究的第二个目的是探讨糖尿病合并精神障碍患者自我护理的护理干预方法。采用修正扎根理论方法对29例患者进行分析。我们提取了三类与糖尿病自我护理相关的患者特征：“影响糖尿病接受度的特征”、“影响治疗意愿的特征”和“影响治疗持续的特征”。分析表明，护理干预对“影响治疗意愿的特征”和“影响治疗持续的特征”是有效的。

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".