Hultsjö Sally
Psychiatric Clinic, County Hospital, Ryhov, Jönköping, Sweden.
Prim Health Care Res Dev. 2013 Jul;14(3):281-92. doi: 10.1017/S1463423612000321. Epub 2012 Jul 12.
This paper aims to explore and analyse mental healthcare staff's (MHCS) knowledge and experiences of diabetes care for persons with psychosis.
There are a range of studies concerning the increased risk of type 2 diabetes mellitus among persons with psychosis, and the need for healthy lifestyle interventions to prevent the illness. MHCS are often trusted and have regular follow-ups with the patients, and their attitudes and actions often play an important role for the person's care behaviour. There is still little documentation of their experiences of diabetes care.
A qualitative, explorative design was used, collecting data through semi-structured interviews with 12 MHCS working in psychosis outpatient care in Sweden. Data were analysed with qualitative content analysis. Findings Three categories emerged and provide a deeper understanding of how staff were aware of the risks of type 2 diabetes among their patients and therefore performed lifestyle interventions to promote these. Nevertheless, they lacked knowledge of diabetes care and simultaneously felt a lack of training among diabetes nurses to adapt diabetes care to suit persons with cognitive dysfunctions. Patients who were overconfident in their ability to manage diabetes care reported to have experienced most difficulties. Cooperation among those involved in these persons' health was considered necessary. Implications Diabetes care for persons with psychosis could improve if knowledge of type 2 diabetes was increased among MHCS and training in how to adapt diabetes care to persons with cognitive dysfunctions was enlarged among diabetes nurses. A challenge for nurses is to see how the care of different illnesses and support given by the family and others affect the persons total life situation and health. Healthcare plans and cooperation among all those involved in these persons' health is necessary for this.
本文旨在探讨和分析精神卫生保健人员（MHCS）对精神病患者糖尿病护理的知识和经验。
有一系列研究关注精神病患者患2型糖尿病的风险增加，以及采取健康生活方式干预措施预防该病的必要性。精神卫生保健人员通常受到患者信任且与患者有定期随访，他们的态度和行为往往对患者的护理行为起着重要作用。然而，关于他们糖尿病护理经验的文献仍然很少。
采用定性、探索性设计，通过对瑞典从事精神病门诊护理工作的12名精神卫生保健人员进行半结构化访谈收集数据。采用定性内容分析法对数据进行分析。
出现了三个类别，能更深入地了解工作人员如何意识到患者中2型糖尿病的风险，从而开展生活方式干预来促进预防。然而，他们缺乏糖尿病护理知识，同时觉得糖尿病护士缺乏将糖尿病护理调整以适应认知功能障碍患者的培训。那些对自己管理糖尿病护理能力过于自信的患者报告称遇到的困难最大。参与这些患者健康护理的各方之间的合作被认为是必要的。
如果精神卫生保健人员对2型糖尿病的知识有所增加，且糖尿病护士针对如何将糖尿病护理调整以适应认知功能障碍患者的培训有所扩大，那么对精神病患者的糖尿病护理可能会得到改善。护士面临的一个挑战是了解不同疾病的护理以及家庭和其他人给予的支持如何影响患者的整体生活状况和健康。为此，所有参与这些患者健康护理的人员之间制定医疗保健计划并开展合作是必要的。
