Derya Adibelli1, İlknur Özkan2. 1. Department of Public Health Nursing, Akdeniz University Kumluca Health Science Faculty, Antalya, Turkey. 2. Department of Internal Medicine Nursing, Health Science Faculty, Akdeniz University Kumluca, Antalya, Turkey.
Abstract
PURPOSE: The aim of this study was to evaluate self-management by individuals with a serious mental illness and an additional chronic disease. DESIGN AND METHODS: Heidegger's hermeneutic phenomenological approach was used. The study was carried out with 12 participants with a serious mental illness and an additional chronic disease. RESULTS: The participants had a diagnosis of schizophrenia and diabetes (75%). Based on the data, the difficulties faced by the patients in chronic disease management were determined as three themes: (a) personal-related difficulties, (b) family and society-related difficulties, and (c) healthcare system-related difficulties. PRACTICE IMPLICATIONS: Nurses' interventions to accurately inform other clinicians and leading professional groups in the community will support individuals with serious mental illnesses to improve their self-management by reducing the burden of stigma.
PURPOSE: The aim of this study was to evaluate self-management by individuals with a serious mental illness and an additional chronic disease. DESIGN AND METHODS: Heidegger's hermeneutic phenomenological approach was used. The study was carried out with 12 participants with a serious mental illness and an additional chronic disease. RESULTS: The participants had a diagnosis of schizophrenia and diabetes (75%). Based on the data, the difficulties faced by the patients in chronic disease management were determined as three themes: (a) personal-related difficulties, (b) family and society-related difficulties, and (c) healthcare system-related difficulties. PRACTICE IMPLICATIONS: Nurses' interventions to accurately inform other clinicians and leading professional groups in the community will support individuals with serious mental illnesses to improve their self-management by reducing the burden of stigma.