Carter Inge R, Nash Creshelle, Ridgway Andrea
Department of Family and Community Medicine, University of Arkansas For Medical Science, Little Rock 72205, USA.
J Natl Med Assoc. 2002 Feb;94(2):67-72.
Patient self-management is an important part of treating chronic diseases. However, many primary care physicians face barriers in offering office-based diabetes education. This paper will discuss a practical program of community-based diabetes education that can be easily modified for a practitioner's office.
Half-day diabetes education workshops geared toward local health care providers and patients with diabetes and their families were conducted in two rural communities in Arkansas. Participants were surveyed with respect to the effectiveness of the program and how they would use what they learned in the program.
Thirty-one health care providers and 59 patients with diabetes and their families attended. Program evaluation scores were between 4.1 and 5 on a 5-point Likert scale. One third of the patients commented that they had a better understanding of diet and medication use. Feedback from community health care providers noted that attendance in local diabetes support groups increased after the workshops.
Diabetes complications have a large impact on the health of the population and a growing economic impact on the health care industry. Although there are many barriers to diabetes education and control, a practical half-day diabetes workshop on any Saturday can be effectively developed and implemented.
患者自我管理是慢性病治疗的重要组成部分。然而,许多初级保健医生在提供基于办公室的糖尿病教育方面面临障碍。本文将讨论一个基于社区的糖尿病教育实用项目,该项目可轻松修改以适用于从业者的办公室。
针对阿肯色州的两个农村社区,为当地医疗保健提供者以及糖尿病患者及其家属举办了为期半天的糖尿病教育工作坊。就该项目的有效性以及他们将如何运用在项目中学到的知识对参与者进行了调查。
31名医疗保健提供者以及59名糖尿病患者及其家属参加了活动。在5分制的李克特量表上,项目评估得分在4.1至5分之间。三分之一的患者表示他们对饮食和药物使用有了更好的理解。社区医疗保健提供者的反馈指出,工作坊结束后,当地糖尿病支持小组的参与人数有所增加。
糖尿病并发症对人群健康有很大影响,对医疗保健行业的经济影响也日益增大。尽管糖尿病教育和控制存在诸多障碍,但在任何周六都可以有效地开展并实施一个实用的半天糖尿病工作坊。