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Improving IV Insulin Administration in a Community Hospital

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Promoting Diabetes Self-Management in a Psychiatric Hospital.

Marie Rancy¹, Kenneth Harris, Jeet Bhavsar

¹Marie Rancy is the clinical professional development educator at Zucker Hillside Hospital, Glen Oaks, NY. Kenneth Harris is a hospitalist at Northwell Health, Long Island Jewish Hillside Hospital, New Hyde Park, NY. Jeet Bhavsar is a data scientist in quantitative intelligence at the Feinstein Institutes for Medical Research, Manhasset, NY. Contact author: Marie Rancy, mrancy@northwell.edu . The authors have disclosed no potential conflicts of interest, financial or otherwise.

The American Journal of Nursing

|August 24, 2023

Summary

Diabetes self-management education and support (DSMES) significantly improved knowledge and skills in patients with mental illness and type 2 diabetes. This highlights the importance of tailored educational interventions for this vulnerable population.

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Area of Science:

Psychiatry and Endocrinology
Metabolic Disorders
Behavioral Health

Background:

Type 2 diabetes and psychiatric illnesses share a bidirectional relationship.
Patients with mental illness have higher type 2 diabetes risk due to antipsychotic side effects and limited self-care education.
Antipsychotic medications can disrupt glucose metabolism.

Purpose of the Study:

To assess the effectiveness of diabetes self-management education and support (DSMES) in patients with co-occurring mental illness and type 2 diabetes.
To evaluate the impact of DSMES on diabetes self-management knowledge and skills.

Main Methods:

Utilized the Diabetes Self-Management Questionnaire for pre- and post-intervention assessments.
Administered DSMES to patients with mental illness and type 2 diabetes.
Analyzed paired survey responses to determine changes in knowledge and skills.

Main Results:

A statistically significant increase in diabetes self-management knowledge was observed post-DSMES.
Participants demonstrated enhanced understanding and skills related to diabetes management.
DSMES positively impacted patients' ability to manage their condition.

Conclusions:

DSMES is effective in improving diabetes self-management knowledge and skills among patients with mental illness.
Integrated care involving psychiatrists and medical teams is crucial for supporting these patients.
Targeted educational interventions are vital for improving health outcomes in this population.