Buethe Marie
Patient Learning Center, University of Minnesota Medical Center, Minneapolis, MN 55455, USA.
Diabetes Educ. 2008 Jan-Feb;34(1):67-74. doi: 10.1177/0145721707312206.
C-O-U-N-T C-A-R-B-S: A 10-Step Guide to Teaching Carbohydrate Counting describes a performance-based approach staff nurses can use to reinforce carbohydrate-counting learning in patients newly diagnosed with diabetes. A pilot of this strategy, which emphasizes practical, interactive exercises designed to improve transference of learning after discharge, was implemented in the Patient Learning Center at the University of Minnesota Medical Center, Minneapolis. Based on feedback offered by 8 patient participants, guidelines were developed to help nurses apply evidenced-based adult learning principles to their diabetes education practice. Many nurses lack confidence in their ability to provide diabetes diet education. This article offers nurses practical guidelines for providing patients with opportunities for successful performance experiences in diet education, a method shown to produce better behavioral outcomes than the didactic strategies commonly used in hospitals at present.
《计算碳水化合物：糖尿病患者碳水化合物计算教学十步法指南》介绍了一种基于表现的方法，主管护师可利用该方法加强对新诊断糖尿病患者碳水化合物计算知识的学习。这一策略强调通过实际的互动练习来提高出院后知识的转化应用，明尼阿波利斯市明尼苏达大学医学中心患者学习中心开展了该策略的试点。基于8名患者参与者提供的反馈，制定了相关指南，以帮助护士将循证成人学习原则应用于糖尿病教育实践。许多护士对自己提供糖尿病饮食教育的能力缺乏信心。本文为护士提供了实用指南，以帮助患者在饮食教育中获得成功的实践经验，这种方法比目前医院常用的说教式策略能产生更好的行为效果。
