Stam D M, Graham J P
John Cochran VA Medical Center, Saint Louis College of Pharmacy, MO 63110, USA.
Pharm Pract Manag Q. 1997 Jul;17(2):12-25.
The Diabetes Control and Complications Trial has shown that the long-term complication of diabetes can be decreased with intensive glycemic control. However, comprehensive patient education is required to provide the patient with the self-management skills necessary to achieve this level of glycemic control. Epidemiologic data indicate that large numbers of patients do not receive the proper care or education necessary to develop such self-management abilities. In order to convey the importance of patient education, the American Diabetes Association (ADA) has labeled self-management education as a cornerstone of therapy for patients with diabetes. Standards of care have also been defined by the ADA. Within the current U.S. health care system, however, limitations are present that may affect the quality of care and ability to provide adequate patient education. Therefore, it is the responsibility of the health care provider to improve the education process in an attempt to maintain standards of care outlined by the ADA. When developing a diabetes self-management training program, the ADA national standards can be used as a guideline.
糖尿病控制与并发症试验表明，强化血糖控制可降低糖尿病的长期并发症。然而，需要全面的患者教育，为患者提供实现这种血糖控制水平所需的自我管理技能。流行病学数据表明，大量患者未得到培养此类自我管理能力所需的适当护理或教育。为了传达患者教育的重要性，美国糖尿病协会（ADA）已将自我管理教育列为糖尿病患者治疗的基石。ADA还制定了护理标准。然而，在当前美国医疗保健系统中，存在一些可能影响护理质量和提供充分患者教育能力的限制因素。因此，医疗保健提供者有责任改进教育过程，以努力维持ADA概述的护理标准。在制定糖尿病自我管理培训计划时，可将ADA国家标准用作指导方针。
