患者赋权：误解与误区。
Patient empowerment: myths and misconceptions.
机构信息
University of Michigan Medical School, Department of Medical Education, Ann Arbor, USA.
出版信息
Patient Educ Couns. 2010 Jun;79(3):277-82. doi: 10.1016/j.pec.2009.07.025. Epub 2009 Aug 13.
OBJECTIVE
The purpose of this article is to clarify the concept of empowerment and to correct common misconceptions about its use in diabetes care and education.
METHODS
The patient empowerment approach is well suited to helping patients make self-selected changes related to weight, nutrition, and physical activity. Although the concept of patient empowerment has become an integral part of diabetes education, an accurate understanding and authentic application of empowerment has not occurred as readily. The empowerment approach is clarified and common misconceptions have been corrected.
RESULTS
Embracing empowerment means making a paradigm shift that is often difficult because the traditional approach to care is embedded in the training and socialization of most health care professionals (HCPs).
CONCLUSION
Unlike the traditional approach, empowerment is not something one does to patients. Rather, empowerment begins when HCPs acknowledge that patient are in control of their daily diabetes care. Empowerment occurs when the HCPs goal is to increase the capacity of patients to think critically and make autonomous, informed decisions. Empowerment also occurs when patients are actually making autonomous, informed decisions about their diabetes self-management.
PRACTICE IMPLICATIONS
Clarity about all aspects of the empowerment approach is essential if it is to be used effectively.
目的
本文旨在澄清赋权的概念，并纠正人们在糖尿病护理和教育中使用赋权时的常见误解。
方法
患者赋权方法非常适合帮助患者进行与体重、营养和身体活动相关的自我选择的改变。尽管患者赋权的概念已经成为糖尿病教育不可或缺的一部分，但准确理解和真实应用赋权并没有那么容易。本文阐明了赋权方法，并纠正了常见的误解。
结果
接受赋权意味着进行范式转变，这通常很困难，因为传统的护理方法根植于大多数医疗保健专业人员（HCPs）的培训和社会化过程中。
结论
与传统方法不同，赋权不是为患者做的事情。相反，赋权始于 HCPs 承认患者控制着他们的日常糖尿病护理。当 HCPs 的目标是提高患者批判性思考和做出自主、明智决策的能力时，就会发生赋权。当患者实际上就他们的糖尿病自我管理做出自主、明智的决策时，也会发生赋权。
实践意义
如果要有效地使用赋权方法，则必须明确赋权方法的所有方面。
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