Liou Yiing Mei
Institute of Clinical and Community Health Nursing, National Yang-Ming University.
Hu Li Za Zhi. 2008 Feb;55(1):70-4.
In Taiwan, Type 2 diabetes is a common chronic disease and a major cause of mortality because of the adverse complications with which it afflicts the cardiovascular, renal and neurological systems. The Bureau of National Health Insurance has begun to address issues of diabetes prevention. Statistics indicate that patients with diabetes account for 11.5% of all medical expenditure by this Bureau. Evidence from the literature suggests that a policy of prevention ought to be more effective than the early detection and treatment of diabetes. This paper recommends a case management system that is sensitive to Taiwan culture and involves the promotion of a healthy lifestyle, "the LOHAS executants", to promote efficient strategies and interventions for the prevention of diabetes. The focus of the approach is one of a gradual change in an individual's lifestyle, including physical activity, a healthy diet and behavior modification. Adherence to the interventions is determined through consultation and monitoring by a case manager. All procedures are tailored and kept convenient, in order to help the participants to achieve or maintain their goals. Overall, in the future, the prevention of type 2 diabetes in high-risk individuals will reduce the tremendous burden on national medical resources created by this disease, and help those people to develop an optimal quality of life.
在台湾，2型糖尿病是一种常见的慢性病，也是导致死亡的主要原因，因为它会引发心血管、肾脏和神经系统的不良并发症。国民健康保险局已开始着手解决糖尿病预防问题。统计数据显示，糖尿病患者的医疗费用占该局所有医疗支出的11.5%。文献证据表明，预防政策应该比糖尿病的早期检测和治疗更有效。本文推荐一种对台湾文化敏感的病例管理系统，该系统涉及推广一种健康的生活方式，即“乐活践行者”，以促进预防糖尿病的有效策略和干预措施。该方法的重点是逐步改变个人的生活方式，包括体育活动、健康饮食和行为改变。通过病例管理员的咨询和监测来确定对干预措施的依从性。所有程序都进行了定制并保持简便，以帮助参与者实现或维持他们的目标。总体而言，未来对高危个体预防2型糖尿病将减轻这种疾病给国家医疗资源带来的巨大负担，并帮助这些人培养最佳生活质量。
