Research Unit for Psychotherapy & Psychopathology, Mental Health Service West, Copenhagen University Hospital - Psychiatry Region Zealand, Slagelse, Denmark.
Department of Clinical Medicine, University of Copenhagen, Copenhagen, Denmark.
Int J Ment Health Nurs. 2022 Dec;31(6):1446-1456. doi: 10.1111/inm.13045. Epub 2022 Aug 16.
People with coexisting type 1 and 2 diabetes and mental illness have a higher mortality rate compared to the general population, among other reasons due to unregulated diabetes. One explanation might be the complexity of managing both conditions. In this interview study, we explored the accounts of delivered diabetes and mental health care of 16 individuals living with coexisting diabetes and mental illness in Denmark. A thematic analysis by Braun and Clarke was applied in the analysis. Some of the participants described the care for diabetes and mental illness to be inextricably linked to each other. Therefore, health care providers ought to focus and knowledge of both conditions as essential components in the care provided. The participants accounted for support needs in other settings beyond diabetes and mental health outpatient clinics, such as the family doctor, residential institutions, and community care. However, the inefficient collaboration between these health care settings is one of the barriers to supporting the participants' self-management.
患有 1 型和 2 型糖尿病合并精神疾病的人群与普通人群相比,死亡率更高,其中一个原因是糖尿病未得到规范治疗。一个解释可能是管理这两种疾病的复杂性。在这项访谈研究中,我们探讨了丹麦 16 名患有 1 型和 2 型糖尿病合并精神疾病的患者的糖尿病和精神健康护理的情况。采用 Braun 和 Clarke 的主题分析方法进行分析。一些参与者描述了对糖尿病和精神疾病的护理是相互交织的。因此,医疗保健提供者应该关注并了解这两种疾病,将其作为提供护理的基本组成部分。参与者还提到了在糖尿病和精神卫生门诊以外的其他环境中的支持需求,例如家庭医生、住宿机构和社区护理。然而,这些医疗保健环境之间低效的协作是支持参与者自我管理的障碍之一。