Dietary Management in Individuals With Serious Mental Illness and Comorbid Diabetes: A Focused Ethnography Study

Wen-Chii TZENG ； Hsin-Pei FENG

《The Journal of Nursing Research》 31卷5期 (2023/10) Pp. 1-9

https://doi.org/10.1097/jnr.0000000000000571

摘要

Background: Patients with serious mental illness (SMI) are more likely to have Type 2 diabetes mellitus (T2DM). However, studies that discuss the eating habits of patients with both T2DM and SMI are lacking. Purpose: This study was designed to explore the beliefs and experiences of Taiwanese patients with SMI who also have T2DM. Methods: Fieldwork for this study included 2 years of participant observation and individual interviews with 13 patients with SMI. Data from transcripts of observational field notes and interviews were transcribed verbatim and analyzed. Results: The participants described their experiences and concerns regarding dietary management during the period after receiving their T2DM diagnosis. The results of the data analysis were distinguished into three categories, including (a) increased difficulty in life, (b) positive view of dietary control, and (c) inability to abide by dietary restrictions. Conclusions: The findings suggest that healthcare professionals should work to better understand the challenges faced by patients with SMI and T2DM in implementing changes and resisting the temptation to eat unhealthy food and provide suggestions tailored to their cultural background, lifestyle, and eating characteristics.

關鍵字

dietary management ； serious mental illness ； diabetes mellitus ； ethnography

參考文獻

Hsu, M.-T., Hsu, H.-C., Hsu, H.-Y., & Wang, R.-H. (2015). Disorder in life and the world: The illness experiences of women with diabetes in Taiwan. The Journal of Nursing, 62(2), 34–44. https://doi.org/10.6224/JN.62.2.34 (Original work published in Chinese)

Aschner, P. (2017). New IDF clinical practice recommendations for managing Type 2 diabetes in primary care. Diabetes Research and Clinical Practice, 132, 169–170. https://doi.org/10.1016/j.diabres.2017.09.002

Badanta, B., de Diego-Cordero, R., Tarriño-Concejero, L., Vega-Escaño, J., González-Cano-Caballero, M., García-Carpintero-Muñoz, M. Á., Lucchetti, G., & Barrientos-Trigo, S. (2021). Food patterns among Chinese immigrants living in the south of Spain. Nutrients, 13(3), Article 766. https://doi.org/10.3390/nu13030766

Bai, Y. M., Su, T. P., Chen, M. H., Chen, T. J., & Chang, W. H. (2013). Risk of developing diabetes mellitus and hyperlipidemia among patients with bipolar disorder, major depressive disorder, and schizophrenia: A 10-year nationwide population-based prospective cohort study. Journal of Affective Disorders, 150(1), 57–62. https://doi.org/10.1016/j.jad.2013.02.019

Blixen, C. E., Kanuch, S., Perzynski, A. T., Thomas, C., Dawson, N. V., & Sajatovic, M. (2016). Barriers to self-management of serious mental illness and diabetes. American Journal of Health Behavior, 40(2), 194–204. https://doi.org/10.5993/ajhb.40.2.4