与精神分裂症和2型糖尿病生活以及糖尿病自我护理的含义:一种定性研究
Tanja Juhl Mikkelsen1,2, Hanne Agerskov2,3,4, Dorte Moeller Jensen1,2
1Steno Diabetes Center Odense, Odense University Hospital, Odense, Denmark.
管理2型糖尿病与精神分裂症是具有挑战性的,因为心理健康往往会掩盖自我护理. 需要综合护理来解决身体,情绪和社会需求,以更好地管理糖尿病.
科学领域:
- 医学社会学 医学社会学
- 精神病学是一个精神病学.
- 内分泌学 在内分泌学.
背景情况:
- 同时发生的精神分裂症和2型糖尿病 (T2D) 提出了独特的管理挑战.
- 了解患者的体验对于改善糖尿病患者的自我护理至关重要.
研究的目的:
- 探讨个人在与精神分裂症一起管理T2D时所面临的困难.
- 确定增强糖尿病自我护理策略的具体需求.
主要方法:
- 具有现象学-解释学方法的定性探索性设计.
- 通过17次现场观测和13次半结构面试 (2020-2021) 收集数据.
- 使用Ricoeur的解释哲学进行分析,并遵守COREQ的指导方针.
主要成果:
- 新兴的主题:"当生活喧时的糖尿病"",牺牲和妥协"和"双重沉默".
- 精神分裂症显著影响糖尿病自我护理,创造了平衡这两种情况的斗争.
- 患者承认T2D的严重性,但在优先考虑护理方面遇到困难.
结论:
- 同时发生的精神分裂症和T2D的自我管理是压倒性的,复杂的症状差异化和护理优先级.
- 分裂的医疗保健系统阻碍了有效的沟通和患者护理途径.
- 一个整体的方法解决身体,情感和社会方面,与增加的护理人员/专业教育是必不可少的.
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