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糖尿病自我管理教育;糖尿病患者的经历

Diabetes Self-Management Education; Experience of People with Diabetes.

作者信息

Mardanian Dehkordi Leila, Abdoli Samereh

机构信息

Department of Adult Health Nursing, Nursing and Midwifery Care Research Center, Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.

College of Nursing, University of Tennessee, Knoxville, TN, USA.

出版信息

J Caring Sci. 2017 Jun 1;6(2):111-118. doi: 10.15171/jcs.2017.011. eCollection 2017 Jun.

DOI:10.15171/jcs.2017.011
PMID:28680865
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5488666/
Abstract

Diabetes self-management education (DSME) is a major factor which can affects quality of life of people with diabetes (PWD). Understanding the experience of PWD participating in DSME programs is an undeniable necessity in providing effective DSME to this population. The Aim of the study was to explore the experiences of PWD from a local DSME program in Iran. This study applied a descriptive phenomenological approach. The participants were PWD attending a well-established local DSME program in an endocrinology and diabetes center in Isfahan, Iran. Fifteen participants willing to share their experience about DSME were selected through purposive sampling from September 2011 to June 2012. Data were collected via unstructured interviews and analyzed using Colaizzi's approach. The experience of participants were categorized under three main themes including content of diabetes education (useful versus repetitive, intensive and volatile), teaching methods (traditional, technology ignorant) and learning environment (friendly atmosphere, cramped and dark). It seems the current approach for DSME cannot meet the needs and expectations of PWD attending the program. Needs assessment, interactive teaching methods, multidisciplinary approach, technology as well as appropriate physical space need to be considered to improve DSME.

摘要

糖尿病自我管理教育(DSME)是影响糖尿病患者(PWD)生活质量的一个主要因素。了解糖尿病患者参与DSME项目的经历,对于向这一人群提供有效的DSME而言是一项不可忽视的必要工作。本研究的目的是探索伊朗当地一个DSME项目中糖尿病患者的经历。本研究采用了描述性现象学方法。参与者是在伊朗伊斯法罕的一个内分泌与糖尿病中心参加一个成熟的当地DSME项目的糖尿病患者。从2011年9月至2012年6月,通过目的抽样选取了15名愿意分享他们关于DSME经历的参与者。通过非结构化访谈收集数据,并使用科莱齐的方法进行分析。参与者的经历被归纳为三个主要主题,包括糖尿病教育的内容(有用与重复、密集和多变)、教学方法(传统、忽视技术)和学习环境(友好氛围、拥挤和昏暗)。目前的DSME方法似乎无法满足参加该项目的糖尿病患者的需求和期望。需要考虑进行需求评估、采用互动教学方法、多学科方法、技术以及合适的物理空间,以改善DSME。