Department of Pediatrics, Endocrinology, Diabetology with Cardiology Division, Medical University of Białystok, Waszyngtona 17, 15-274 Białystok, Poland.
J Diabetes Res. 2016;2016:5671492. doi: 10.1155/2016/5671492. Epub 2016 Dec 20.
As the available therapies for diabetes and obesity are not effective enough, diabetologists and educators search for new methods to collaborate with patients in order to support their health behaviors. The aim of this review is to discuss perspectives for the development of new empowerment-type therapies in the treatment of diabetes/obesity. Empowerment is a process whereby patients gain the necessary knowledge to influence their own behavior to improve the quality of their lives. It is carried out in five stages: (1) identify the problem, (2) explain the feelings and meanings, (3) build a plan, (4) act, and (5) experience and assess the execution. Although many years have passed since the advent and popularization of the concept of empowerment, the area remains controversial, mainly with regard to the methodology of therapy. Some previous studies have confirmed the positive effect of empowerment on body weight, metabolic control, and quality of life of patients with type 2 diabetes; however, few studies have been conducted in patients with type 1 diabetes. There is still a need to confirm the effectiveness of empowerment in accordance with Evidence Based Medicine by performing long-term observational studies in a large group of patients. In future, empowerment may become part of the standard of care for patients with diabetes and/or obesity.
由于现有的糖尿病和肥胖症治疗方法效果不够理想，糖尿病学家和教育工作者正在寻找新的方法，与患者合作，以支持他们的健康行为。本文旨在讨论在糖尿病/肥胖症治疗中开发新的赋能型治疗方法的前景。赋能是一个让患者获得必要知识以影响自身行为、改善生活质量的过程。它分为五个阶段：（1）识别问题，（2）解释感受和意义，（3）制定计划，（4）行动，（5）体验和评估执行情况。尽管赋能概念的出现和普及已经过去了很多年，但该领域仍然存在争议，主要是关于治疗方法。一些先前的研究已经证实了赋能对 2 型糖尿病患者的体重、代谢控制和生活质量的积极影响；然而，针对 1 型糖尿病患者的研究却很少。仍有必要按照循证医学的要求，通过对大量患者进行长期观察性研究来证实赋能的有效性。在未来，赋能可能成为糖尿病和/或肥胖症患者标准护理的一部分。
