Lawrenson Ross, Joshy Grace, Eerens Yoska, Johnstone Wayne
Waikato Clinical School, The University of Auckland, Hamilton, New Zealand.
J Prim Health Care. 2010 Dec 1;2(4):303-10.
Education is accepted as the mainstay of management for people with diabetes. However, there are few population-based studies describing what education has been delivered from the patient's perspective.
To ascertain the sources of education for patients with newly diagnosed type 2 diabetes; what education was received and what were the patients' views of group education. Delivery of education to Maori was compared with non-Maori.
A cross-sectional survey of patients identified from the Waikato Regional Diabetes Service database. Patients identified in one calendar year, having a diagnosis of type 2 diabetes and being aged between 20 and 89 years were included in the survey. Patients were sent a four-page questionnaire. Nonresponders were followed up by telephone.
333/667 patients (50%) responded. The principal source of education for Waikato patients was general practice, from the general practitioner and/or the practice nurse. Ninety-three percent of patients reported that they had received some education about diabetes at the time of diagnosis. There was no difference between Maori and non-Maori in the reported levels of diabetes education received, but the patient perceived knowledge score was significantly lower for Maori in all aspects studied.
The overall impression was that patients were receiving appropriate information about diabetes, but there does appear to be room for improvement in some areas, particularly the importance of blood pressure and lipid control. We believe that further research on the educational needs of Maori and ethnic minorities is needed.
教育被视为糖尿病患者管理的支柱。然而,从患者角度描述所提供教育内容的基于人群的研究较少。
确定新诊断的2型糖尿病患者的教育来源;患者接受了哪些教育以及他们对团体教育的看法。将针对毛利人的教育与非毛利人的教育进行比较。
对从怀卡托地区糖尿病服务数据库中识别出的患者进行横断面调查。调查纳入了在一个日历年中被诊断为2型糖尿病且年龄在20至89岁之间的患者。向患者发送了一份四页的问卷。未回复者通过电话进行随访。
333/667名患者(50%)做出了回应。怀卡托患者的主要教育来源是全科医疗,来自全科医生和/或执业护士。93%的患者报告称在诊断时接受了一些关于糖尿病的教育。在报告接受的糖尿病教育水平方面,毛利人和非毛利人之间没有差异,但在所有研究方面,毛利人的患者认知知识得分显著较低。
总体印象是患者正在获得关于糖尿病的适当信息,但在某些领域似乎仍有改进空间,特别是血压和血脂控制的重要性。我们认为需要对毛利人和少数民族的教育需求进行进一步研究。