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[适应患者实际情况的功能性胰岛素治疗方案]

[Functional insulin therapy courses adapted to the patient's reality].

作者信息

Ruiz J, Morel D, Andrey M, Masciotra D

机构信息

Service d'endocrinologie, diabétologie et métabolisme, CHUV, Lausanne.

出版信息

Rev Med Suisse. 2011 Jun 8;7(298):1255-6, 1258-9.

Abstract

Therapeutic education was initially developed in the field of diabetology. In this chronic disease, it is the patient who is the major decision-maker. R. K. Bernstein is probably the first patient to have practised self glucose monitoring. He developed the basal-bolus technique for himself, which prompted the creation of functional insulin therapy courses by European physicians. This experiential approach has been adapted and simplified for patients in order to facilitate their management of uncertainty. The ASKAR method offers a frame of reference for the development of teaching-learning sequences. The acronym ASKAR refers to the five components of a person's experience: Action, Situation, Knowledge, Attitude and Resource. Working on these five components is a way for patients to improve their management of uncertainty.

摘要

治疗性教育最初是在糖尿病学领域发展起来的。在这种慢性病中,患者是主要的决策者。R. K. 伯恩斯坦可能是第一个进行自我血糖监测的患者。他为自己开发了基础-餐时胰岛素注射技术,这促使欧洲医生开设了功能性胰岛素治疗课程。这种经验性方法已针对患者进行了调整和简化,以帮助他们应对不确定性。ASKAR方法为教学序列的开发提供了一个参考框架。首字母缩略词ASKAR指的是一个人经历的五个组成部分:行动、情境、知识、态度和资源。针对这五个组成部分开展工作是患者改善不确定性管理的一种方式。

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