Davies Karen
Worthing and Southlands NHS Trust, West Sussex.
Br J Nurs. 2006;15(5):252-6.
The increased prevalence of chronic disease offers nurses the challenge of providing educational interventions for people living and managing a condition such as diabetes mellitus. This article uses theoretical models and approaches from health promotion to offer perspectives to explain behaviour and determinants of health. The competing needs and perspectives are applied to see their relevance within diabetes nursing care, and in particular when looking at patient outcomes for a group intervention, raising the question: what is an effective intervention? Evaluating interventions needs clear identifiable values and aims, although this article highlights that success of any intervention will mean different things for the participant or health professional. There is a need for research into the subjective experiences of people with diabetes managing an intensive insulin regimen, and to value and include a wider definition of evidence-based outcomes.
慢性病患病率的上升给护士带来了挑战，即要为患有糖尿病等疾病并进行自我管理的人群提供教育干预措施。本文运用健康促进的理论模型和方法，提供解释行为和健康决定因素的观点。将相互竞争的需求和观点应用于糖尿病护理中，以审视它们在其中的相关性，特别是在考察群体干预的患者结果时，这就引发了一个问题：什么是有效的干预措施？评估干预措施需要明确可识别的价值观和目标，尽管本文强调任何干预措施的成功对参与者或健康专业人员而言可能意味着不同的事情。有必要对采用强化胰岛素治疗方案的糖尿病患者的主观体验进行研究，并重视和纳入对基于证据的结果更广泛的定义。
