Clinical Ageing Research Unit Institute of Health and Society, Newcastle University, Newcastle upon Tyne, UK.
Diabet Med. 2012 Jan;29(1):132-5. doi: 10.1111/j.1464-5491.2011.03393.x.
The Diabetes UK good clinical practice guidelines for care home residents were revised in 2010. In this study, we examined current care against these standards and sought the views of residents on their diabetes.
Mixed methods (qualitative and quantitative), including interviews with residents, carers and staff, participant record reviews and focus group discussions were used to gather data in care homes in Newcastle upon Tyne.
Thirty-one residents from seven care homes participated. Eighty-seven per cent of residents had probable dementia (based on abbreviated mental test score or clock-drawing test). Weight, body mass index and blood pressure were satisfactorily monitored. Glucose monitoring took place in all residents who received insulin, but was monitored unnecessarily in those with diet-controlled diabetes (63%). The majority of residents (90%) had seen a chiropodist and had received eye screening (> 80%) recently. Only one of the care homes had staff that had diabetes training. Residents reported little knowledge of diabetes management. However, when asked what they knew about diabetes, comments included 'It's a common thing... like cancer'; '[I would have liked a] plain language explanation of diabetes' and 'They told me they could control it by diet, and then it was tablets, then insulin. They didn't explain why.'
In Newcastle upon Tyne care homes there is good care provided but also evidence of inadequacies. Despite high levels of dementia, many patients have strong and valid opinions about their disease and the care they receive. Despite the challenges, we believe that residents must be included in discussions about service development.
2010 年，英国糖尿病协会对养老院居民的良好临床实践指南进行了修订。在这项研究中，我们对照这些标准检查了当前的护理情况，并征求了居民对其糖尿病的意见。
采用混合方法（定性和定量），包括对养老院居民、护理人员和工作人员进行访谈、参与者记录审查和焦点小组讨论，在泰恩河畔纽卡斯尔的养老院收集数据。
来自 7 家养老院的 31 名居民参与了研究。87%的居民可能患有痴呆症（根据简易精神状态测试或画钟测试结果判断）。体重、体重指数和血压得到了满意的监测。所有接受胰岛素治疗的患者都进行了血糖监测，但对饮食控制良好的糖尿病患者（63%）进行了不必要的监测。大多数居民（90%）都看过足病医生，最近都接受过眼部检查（>80%）。只有一家养老院的工作人员接受过糖尿病培训。居民报告对糖尿病管理知之甚少。然而，当被问及他们对糖尿病的了解时，他们的评论包括“这是一种常见的疾病……就像癌症一样”；“[我希望得到]关于糖尿病的通俗易懂的解释”；“他们告诉我他们可以通过饮食来控制它，然后是药片，然后是胰岛素。他们没有解释为什么。”
在泰恩河畔纽卡斯尔的养老院，提供了良好的护理，但也存在不足之处。尽管痴呆症的发病率很高，但许多患者对自己的疾病和所接受的护理有强烈而有效的意见。尽管存在挑战，但我们认为必须让居民参与服务发展的讨论。
