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A 60-Week Prospective RCT of a Self-Management Intervention for Individuals With Serious Mental Illness and Diabetes Mellitus.一项为期 60 周的严重精神疾病和糖尿病患者自我管理干预的前瞻性 RCT 研究。
Psychiatr Serv. 2017 Sep 1;68(9):883-890. doi: 10.1176/appi.ps.201600377. Epub 2017 May 15.
2
Systematic Review of Integrated General Medical and Psychiatric Self-Management Interventions for Adults With Serious Mental Illness.针对患有严重精神疾病的成年人的综合普通医学与精神科自我管理干预措施的系统评价
Psychiatr Serv. 2016 Nov 1;67(11):1213-1225. doi: 10.1176/appi.ps.201500521. Epub 2016 Jun 15.
3
A Nursing Approach to Self-Management Education for Individuals With Mental Illness and Diabetes.一种针对患有精神疾病和糖尿病个体的自我管理教育的护理方法。
Diabetes Spectr. 2016 Feb;29(1):24-31. doi: 10.2337/diaspect.29.1.24.
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Chronic disease self-management program: insights from the eye of the storm.慢性病自我管理项目：风暴眼中的洞察
Front Public Health. 2015 Apr 27;2:253. doi: 10.3389/fpubh.2014.00253. eCollection 2014.
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Social processes that can facilitate and sustain individual self-management for people with chronic conditions.能够促进和维持慢性病患者个人自我管理的社会过程。
Nurs Res Pract. 2012;2012:282671. doi: 10.1155/2012/282671. Epub 2012 Nov 22.
6
The impact of social support on outcomes in adult patients with type 2 diabetes: a systematic review.社会支持对 2 型糖尿病成年患者结局的影响：系统评价。
Curr Diab Rep. 2012 Dec;12(6):769-81. doi: 10.1007/s11892-012-0317-0.
7
Increased mortality risk in women with depression and diabetes mellitus.抑郁症合并糖尿病女性的死亡风险增加。
Arch Gen Psychiatry. 2011 Jan;68(1):42-50. doi: 10.1001/archgenpsychiatry.2010.176.
8
Relative risk of diabetes, dyslipidaemia, hypertension and the metabolic syndrome in people with severe mental illnesses: systematic review and metaanalysis.重症精神疾病患者患糖尿病、血脂异常、高血压及代谢综合征的相对风险：系统评价与荟萃分析
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9
Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups.定性研究报告的统一标准（COREQ）：访谈和焦点小组的32项清单
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Health behaviors among individuals with schizophrenia and depression.
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护士主导的严重精神疾病（SMI）和糖尿病（DM）患者自我管理项目中有效的方法。

What Works in a Nurse Led Self-Management Program for Patients with Serious Mental Illness (SMI) and Diabetes (DM).

作者信息

Blixen Carol, Kanuch Stephanie W, Perzynski Adam T, Thomas Charles, Dawson Neal V, Sajatovic Martha

机构信息

Case Western Reserve University and Senior Scholar, Center for Health Care Research and Policy, MetroHealth Medical Center, Cleveland, OH, United States.

Center for Health Care Research and Policy, Case Western Reserve University, MetroHealth Medical Center, Cleveland, OH, United States.

出版信息

Arch Psychiatr Nurs. 2018 Feb;32(1):127-132. doi: 10.1016/j.apnu.2017.10.002. Epub 2017 Oct 13.

DOI:10.1016/j.apnu.2017.10.002
PMID:29413063
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6014592/
Abstract

OBJECTIVE

To develop a deeper understanding of "how" a nurse led self-management intervention in a successful randomized controlled trial (RCT) for individuals with both serious mental illness (SMI) and diabetes (DM) influenced health outcomes and the lives of the participants.

METHODS

In depth interviews, were conducted with a sample of 10 participants who received the self-management intervention in the RCT. Interviews were audiotaped, transcribed verbatim, and analyzed using content analysis, with an emphasis on dominant themes.

RESULTS

The mean age of the respondents was 53.9years (SD=5.6); 6 (60%) were women and the mean level of education was 12.4years (SD=2.4). Transcript based analysis generated 3 major mechanisms of action that led to improved self-management of their SMI and DM: (Colton & Manderscheid, 2006) positive group experience, (Osborn et al., 2008) increased health knowledge, and (Newcomer, 2005) increased self- confidence.

CONCLUSIONS

Developing complex interventions for testing in RCTs of individuals with SMI and other comorbid conditions is of increasing importance in healthcare planning for this vulnerable population. Using qualitative methods to explore mechanisms of action underlying quantitative outcomes, can enrich our understanding of processes relevant for individuals with SMI and comorbid conditions.

摘要

目的

更深入地了解在一项针对患有严重精神疾病（SMI）和糖尿病（DM）的个体的成功随机对照试验（RCT）中，护士主导的自我管理干预是“如何”影响健康结果和参与者生活的。

方法

对随机对照试验中接受自我管理干预的10名参与者进行了深入访谈。访谈进行了录音，逐字转录，并采用内容分析法进行分析，重点关注主要主题。

结果

受访者的平均年龄为53.9岁（标准差=5.6）；6名（60%）为女性，平均受教育年限为12.4年（标准差=2.4）。基于转录本的分析产生了3种主要作用机制，这些机制导致了对其严重精神疾病和糖尿病自我管理的改善：（科尔顿和曼德施泰德，2006年）积极的群体体验、（奥斯本等人，2008年）健康知识增加以及（纽科默，2005年）自信心增强。

结论

针对患有严重精神疾病和其他合并症的个体进行随机对照试验的复杂干预措施开发，在针对这一弱势群体的医疗保健规划中变得越来越重要。使用定性方法探索定量结果背后的作用机制，可以丰富我们对与患有严重精神疾病和合并症个体相关过程的理解。