Marchetto S, Perari D, Monesi G
Primario Unità Operativa di Diabetologia e Malattie Metaboliche Ospedale di Rovigo.
Assist Inferm Ric. 1999 Apr-Jun;18(2):65-71.
The educational process of a diabetic patient is a long life experience. The monitoring experience of the educational activity with diabetic patients is described. Nurses working at the Diabetic Centre in Rovigo perceived difficulties in the communication with IDDM patients (Insulin Dependent Diabetes Mellitus) especially at the first diagnosis of the disease and during the first patients' encounters. A thorough assessment of the nurse patient communication (analysis of the problems perceived and specific problems encountered; videotapes of nurse-patient communication and discussion with the psychologist on the verbal and non verbal communication styles adopted; discussion with the team on the content of the communication) was the occasion for modifying the information protocols. The experience involved also the nurses caring for patients in the general wards, in order to guarantee continuity in care and information between the ward and the Centre. A 'Survival Kit' for newly diagnosed IDDM patients was devised and an agreement was reached not only on contents to be taught during the first encounters but also on skills that the patients is expected to acquire and on the teaching methods.
糖尿病患者的教育过程是一种长期的生活体验。本文描述了对糖尿病患者开展教育活动的监测体验。在罗维戈糖尿病中心工作的护士们察觉到，与胰岛素依赖型糖尿病（IDDM）患者沟通存在困难，尤其是在疾病初诊时以及首次与患者接触期间。对护士与患者沟通情况进行全面评估（分析察觉到的问题和遇到的具体问题；护士与患者沟通的录像以及与心理学家就所采用的言语和非言语沟通方式进行的讨论；与团队就沟通内容进行的讨论），为修改信息协议提供了契机。该体验还涉及在普通病房护理患者的护士，以确保病房与中心之间护理和信息的连续性。为新诊断的IDDM患者设计了一个“生存包”，不仅就首次接触时要教授的内容达成了一致，还就期望患者掌握的技能以及教学方法达成了共识。
