Galindo Rubio Mercedes, Jansà Morató Margarida, Menéndez Torre Edelmiro
Endocrinol Nutr. 2015 Oct;62(8):391-9. doi: 10.1016/j.endonu.2015.05.013. Epub 2015 Oct 1.
Therapeutic education (TE) has been gradually introduced progressively into diabetes mellitus care programs with the aim of providing patients and their families or caregivers with the necessary skills for the self-management of the disease. The Diabetes Attitudes, Wishes and Needs 2 (DAWN2) study helps to clarify what are the unmet needs with regards to self-management and the TE offer available to patients and their families. The objective of this paper is to analyse the results of the DAWN2 study regarding self-care habits and participation in TE activities in Spain.
The DAWN2 is an observational, cross-national study. In this paper, an analysis was performed on the Spanish sample of diabetic patients (502) and family members (123).
Patients report taking their medications as recommended by their doctor an average of 6.4 days/week, and self-monitor their blood glucose an average of 3.4 days/week. The large majority (86%) of patients with diabetes mellitus type 1, 59% of patients with diabetes mellitus type 2, and 21% of family members state to have participated in education activities.
Diabetes educators should reinforce the messages about the benefits of self-care, particularly for patients who are in the early stages of the disease. Likewise, access for family members and people with diabetes mellitus type 2 to TE programs should be improved, and these programs for diabetic patients and their families should be included in the services portfolio of health centres.
治疗性教育(TE)已逐渐被逐步引入糖尿病护理项目,旨在为患者及其家人或护理人员提供疾病自我管理所需的技能。糖尿病态度、愿望和需求2(DAWN2)研究有助于明确在自我管理方面未得到满足的需求以及患者及其家人可获得的治疗性教育服务。本文的目的是分析DAWN2研究中关于西班牙患者自我护理习惯和参与治疗性教育活动的结果。
DAWN2是一项观察性跨国研究。本文对西班牙的糖尿病患者样本(502例)和家庭成员样本(123例)进行了分析。
患者报告平均每周有6.4天按医生建议服药,平均每周自我监测血糖3.4天。绝大多数1型糖尿病患者(86%)、59%的2型糖尿病患者以及21%的家庭成员表示参加过教育活动。
糖尿病教育工作者应强化关于自我护理益处的信息,尤其是对于疾病处于早期阶段的患者。同样,应改善家庭成员和2型糖尿病患者参与治疗性教育项目的机会,并且这些针对糖尿病患者及其家人的项目应纳入健康中心的服务范围。