Leeseberg Stamler L, Cole M M, Patrick L J
Collaborative BScN Program, Nipissing University, North Bay, Ontario, Canada.
J Adv Nurs. 2001 Aug;35(3):365-72. doi: 10.1046/j.1365-2648.2001.01852.x.
Strategies to delay or prevent complications from diabetes include diabetes patient education. Diabetes educators seek to provide education that meets the needs of clients and influences positive health outcomes.
(1) To expand prior research exploring an enablement framework for patient education by examining perceptions of patient education by persons with diabetes and (2) to test the mastery of stress instrument (MSI) as a potential evaluative instrument for patient education.
Triangulated data collection with a convenience sample of adults taking diabetes education classes. Half the sample completed audio-taped semi-structured interviews pre, during and posteducation and all completed the MSI posteducation. Qualitative data were analysed using latent content analysis, descriptive statistics were completed.
Qualitative analysis revealed content categories similar to previous work with prenatal participants, supporting the enablement framework. Statistical analyses noted congruence with psychometric findings from development of MSI; secondary qualitative analyses revealed congruency between MSI scores and patient perceptions.
Mastery is an outcome congruent with the enablement framework for patient education across content areas. Mastery of stress instrument may be a instrument for identification of patients who are coping well with diabetes self-management, as well as those who are not and who require further nursing interventions.
延缓或预防糖尿病并发症的策略包括糖尿病患者教育。糖尿病教育工作者致力于提供满足患者需求并能带来积极健康结果的教育。
（1）通过研究糖尿病患者对患者教育的看法，扩展先前探索患者教育赋能框架的研究；（2）测试压力掌控量表（MSI）作为患者教育潜在评估工具的有效性。
采用三角互证数据收集法，对参加糖尿病教育课程的成年便利样本进行研究。一半样本在教育前、教育期间和教育后完成了录音半结构化访谈，所有样本在教育后都完成了MSI测试。定性数据采用潜在内容分析法进行分析，完成描述性统计。
定性分析揭示的内容类别与先前对产前参与者的研究相似，支持了赋能框架。统计分析表明与MSI开发中的心理测量结果一致；二次定性分析揭示了MSI得分与患者认知之间的一致性。
掌控是与跨内容领域的患者教育赋能框架相一致的结果。压力掌控量表可能是一种识别糖尿病自我管理应对良好的患者以及应对不佳且需要进一步护理干预的患者的工具。
