Walker Elizabeth A, Usher Jennifer A
Prevention and Control Division, Diabetes Research and Training Center, Albert Einstein College of Medicine, 1300 Morris Park Avenue, Bronx, NY 10461, USA.
Curr Diab Rep. 2003 Apr;3(2):141-8. doi: 10.1007/s11892-003-0038-5.
This article reviews selected recent literature on adult diabetes patient-centered adherence to diabetes care recommendations. We describe more fully a limited number of articles that have particular lessons for diabetes clinicians and researchers. Each article was reviewed for methodology, adherence measures, and types of outcome data collected. This process produced a few studies evaluating an intervention to promote adherence, subsequent targeted behavior changes, as well as health outcomes. Using a standard measure of diabetes self-care adherence over multiple studies may be an important way to compare results across diverse interventions. Advances in research designs and measures show promising results for understanding and enhancing adherence in adults coping with diabetes. Much more behavioral research in diabetes is needed in order to significantly improve the health and quality of life in this population.
本文回顾了近期有关以成年糖尿病患者为中心遵循糖尿病护理建议的部分文献。我们更全面地描述了少数几篇对糖尿病临床医生和研究人员具有特殊借鉴意义的文章。每篇文章都从方法学、依从性测量以及所收集的结果数据类型方面进行了审阅。这一过程产生了一些评估促进依从性干预措施、后续目标行为改变以及健康结果的研究。在多项研究中使用糖尿病自我护理依从性的标准测量方法可能是比较不同干预措施结果的重要途径。研究设计和测量方法的进展为理解和提高成年糖尿病患者的依从性显示出了有前景的结果。为了显著改善这一人群的健康状况和生活质量，还需要开展更多有关糖尿病的行为研究。
