Volume 21 Issue 11
Nov.  2023
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LIN Ling, ZHANG Yi, HE Mei. Study on nursing care of schizophrenia patients with diabetes by individualized intervention based on recovery concept[J]. Chinese Journal of General Practice, 2023, 21(11): 1972-1976. doi: 10.16766/j.cnki.issn.1674-4152.003270
Citation: LIN Ling, ZHANG Yi, HE Mei. Study on nursing care of schizophrenia patients with diabetes by individualized intervention based on recovery concept[J]. Chinese Journal of General Practice, 2023, 21(11): 1972-1976. doi: 10.16766/j.cnki.issn.1674-4152.003270
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Study on nursing care of schizophrenia patients with diabetes by individualized intervention based on recovery concept

doi: 10.16766/j.cnki.issn.1674-4152.003270

  • B3 Ward, Shanghai Mental Health Center, Shanghai 201108, China

Funds:

 21Y11905700

  • Received Date: 2023-07-26
    Available Online: 2024-01-13
    Abstract
  •   Objective  The nursing of schizophrenia complicated with diabetes should be paid more attention. This study discusses the application effect of individualized nursing intervention based on the concept of rehabilitation.  Methods  A total of 122 patients with schizophrenia combined with diabetes admitted to Shanghai Mental Health Center from September 2020 to August 2022 were selected and divided into control group and observation group by random number table method, with 61 cases in each group. The control group implemented routine nursing intervention, while the observation group implemented individualized nursing intervention based on recovery theory. Both groups were intervened for 6 months, and their self-awareness and treatment attitude [insight and treatment attitude questionnaire (ITAQ)], stigma [internalized stigma of mental illness inventory (ISMI)], treatment compliance, clinical psychiatric symptoms [positive and negative syndrome scale (PANSS)], blood glucose indicators [fasting blood glucose (FPG), glycated hemoglobin (HbAlc) and 2 hour postprandial plasma glucose (2hPG)] were compared before and after the intervention, and the blood glucose level after 6 months of intervention in both groups were recorded, as well as the recurrence of schizophrenia during the intervention period.  Results  After intervention, the ITAQ scale score in the observation group was higher than that in the control group (P < 0.05), while the ISMI scores and total scores in all dimensions were lower than those in the control group (P < 0.05). The excellent and good compliance rate in the observation group was 91.53% (54/59), which was higher than 77.97% (46/59) in the control group (P < 0.05). After intervention, the PANSS scores in all dimensions and total scores in the observation group were lower than those in the control group (P < 0.05), and the levels of FPG, 2 h PG, and HbA1c were lower than those in the control group (P < 0.05). After 6 months of intervention, the blood glucose compliance rate in the observation group was higher than that in the control group [74.58% (44/59) vs. 55.93% (33/59), P < 0.05].  Conclusion  Individualized intervention based on the concept of recovery can improve the insight of schizophrenic patients with diabetes, reduce their sense of shame, and facilitate their mental rehabilitation and blood sugar stability.

     

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