Leeman Jennifer
School of Nursing, CB#7460, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599-7460, USA.
Diabetes Educ. 2006 Jul-Aug;32(4):571-83. doi: 10.1177/0145721706290833.
The purpose of this study was to review publications of research on diabetes self-management interventions and assess whether the interventions are relevant for practice.
A content analysis was performed on research reports published between 1993 and 2004 of interventions designed to improve patients' diabetes self-management. Information was abstracted relevant to the intervention's generalizability to other settings and its compatibility and feasibility in practice.
Publications included only limited information relevant to an intervention's generalizability across populations and settings. Many of the interventions tested were not designed to be compatible with the realities of current practice or to be delivered in the settings in which most diabetes care is provided. Many of the interventions were very complex, requiring multiple delivery modes and contacts, proactive scheduling, and coordination across disciplines.
In view of the prevalence of diabetes, it is critical that effective self-management interventions be adopted and implemented. Interventions need to be designed so that their findings have greater relevance and utility for practice and can be generalized across practice settings.
本研究旨在回顾糖尿病自我管理干预措施的研究出版物，并评估这些干预措施是否与实践相关。
对1993年至2004年间发表的旨在改善患者糖尿病自我管理的干预措施的研究报告进行内容分析。提取了与干预措施在其他环境中的可推广性及其在实践中的兼容性和可行性相关的信息。
出版物中仅包含与干预措施在不同人群和环境中的可推广性相关的有限信息。所测试的许多干预措施并非设计为与当前实践的实际情况兼容，也不是在提供大多数糖尿病护理的环境中实施。许多干预措施非常复杂，需要多种实施方式和接触、积极的安排以及跨学科的协调。
鉴于糖尿病的普遍性，采用和实施有效的自我管理干预措施至关重要。干预措施的设计应使其研究结果对实践具有更大的相关性和实用性，并能在不同的实践环境中推广。
