Department of Pharmacy & Therapeutics, University of Pittsburgh School of Pharmacy, Pittsburgh, Pennsylvania.; University Diabetes Care Associates, Pittsburgh, Pennsylvania..
Am J Med Sci. 2013 Apr;345(4):307-313. doi: 10.1097/MAJ.0b013e31828c68cc.
The roles of the diabetes educator (DE) have expanded significantly from the basic instruction on self-care on which the profession was established and now encompass a range of key responsibilities within diabetes care. A major focus of recent literature has been evaluation of the effectiveness of diabetes self-management education for such factors as reducing the incidence of diabetes, improving clinical parameters and improving medication adherence. This review describes how DEs and diabetes educational services have impacted patient health, how the role of the DE has changed in the past decade and what roles these professionals may serve in the evolving paradigm of primary care for patients with diabetes. Looking forward, the integration of DEs into coordinated care teams will likely increase to meet the challenges associated with providing quality care to a rapidly expanding population with type 2 diabetes.
糖尿病教育者（DE）的角色已经从该职业建立时的基本自我护理指导上大大扩展，现在涵盖了糖尿病护理中的一系列关键职责。最近的文献主要集中在评估糖尿病自我管理教育对降低糖尿病发病率、改善临床参数和提高药物依从性等因素的有效性。本综述描述了 DE 和糖尿病教育服务如何影响患者健康，DE 的角色在过去十年中发生了怎样的变化，以及这些专业人员在糖尿病患者的初级保健不断发展的模式中可能扮演的角色。展望未来，将 DE 整合到协调护理团队中可能会增加，以应对为迅速增长的 2 型糖尿病人群提供优质护理所带来的挑战。
