Kerkenbush Nicole L, Lasome Caterina E M
US Army Nurse Corps, and the University of Washington in Seattle, Lakewood, 98499, USA.
AACN Clin Issues. 2003 Aug;14(3):371-8. doi: 10.1097/00044067-200308000-00012.
Diabetes mellitus affects an estimated 17 million people in America. A cornerstone to the treatment of this population is appropriate glycemic control, which has been associated with better patient outcomes and cost savings from lack of diabetes complications needing treatment. The patient diary serves as the primary means used by patients and care providers to monitor and ensure glycemic control among this population and as a key component to effective diabetes management. Diabetic patients are encouraged to track continually, in a systematic way, blood glucose levels, dietary intake, activity level, and insulin dose if applicable for use in guiding appropriate care decisions. Traditionally, the recording of such patient experience data has occurred in paper-based diaries. More recently, with the advent of personal digital assistant (PDA) technology, electronic diaries are demonstrating promising benefits over paper-based diaries. To take advantage of this technology, patients must be able to use PDA devices accurately and providers must be knowledgeable about their capabilities. Advanced practice nurses (APNs) in general, and nurse practitioners in the outpatient setting more specifically play a key role in assessing the appropriateness of PDA technology for individual patients, educating patients in various software applications, and ensuring the documentation and trending of data. This article provides an overview of traditional diabetes management record-keeping techniques followed by a review of current PDA technologies and resources that aim to improve the state of diabetic documentation by patients.
据估计，美国有1700万人患有糖尿病。对这一群体进行治疗的一个基石是适当的血糖控制，这与更好的患者预后以及因无需治疗糖尿病并发症而节省成本相关。患者日记是患者和医护人员用于监测和确保该群体血糖控制的主要手段，也是有效糖尿病管理的关键组成部分。鼓励糖尿病患者以系统的方式持续跟踪血糖水平、饮食摄入量、活动水平以及（如适用）胰岛素剂量，以用于指导适当的护理决策。传统上，此类患者体验数据的记录是在纸质日记中进行的。最近，随着个人数字助理（PDA）技术的出现，电子日记相较于纸质日记展现出了有前景的优势。为了利用这项技术，患者必须能够准确使用PDA设备，医护人员必须了解其功能。一般而言，高级执业护士（APN），尤其是门诊环境中的执业护士，在评估PDA技术对个体患者的适用性、对患者进行各种软件应用的教育以及确保数据的记录和趋势分析方面发挥着关键作用。本文首先概述传统的糖尿病管理记录技术，随后回顾当前旨在改善患者糖尿病记录状况的PDA技术和资源。
