University of Pennsylvania School of Nursing, Philadelphia, PA 19104-6096, USA.
J Cardiovasc Nurs. 2010 Mar-Apr;25(2):93-8. doi: 10.1097/JCN.0b013e3181c5a364.
Self-care is believed to play an important role in diabetes mellitus (DM) management, and the relationship between DM self-care and glycemic control has been extensively examined in the literature. However, most existing DM self-care literature focuses on patients' routine health behaviors. The literature has not examined in detail the relationship between health outcomes and patient decision making/nonroutine responses to signs and symptoms of DM. This article adopted Riegel and Dickson's situation-specific theory of heart failure self-care [J Cardiovasc Nurs. 2008;23(3):190-196], which incorporates an examination of patient decision making and nonroutine behaviors in their working concept of self-care, and used it as a framework for reviewing the research literature relevant to how DM self-care influences health outcomes.
自我护理被认为在糖尿病（DM）管理中起着重要作用，DM 自我护理与血糖控制之间的关系在文献中得到了广泛研究。然而，大多数现有的 DM 自我护理文献都侧重于患者的常规健康行为。该文献尚未详细研究健康结果与患者对 DM 症状和体征的决策/非常规反应之间的关系。本文采用了 Riegel 和 Dickson 的心力衰竭自我护理特定情况理论[J Cardiovasc Nurs. 2008;23(3):190-196]，该理论将患者决策和非常规行为纳入自我护理的工作概念中，并将其作为审查与 DM 自我护理如何影响健康结果相关的研究文献的框架。
