Winkley K, Upsher R, Keij S M, Chamley M, Ismail K, Forbes A
Diabetes Psychiatry & Psychology, Department of Psychological Medicine and Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK.
Lambeth Clinical Commissioning Group Diabetes Intermediate Care Team, London, UK.
Diabet Med. 2018 Jul;35(7):911-919. doi: 10.1111/dme.13637. Epub 2018 May 2.
To determine healthcare professionals' (HCP) views of group structured education for people with newly diagnosed Type 2 diabetes.
This was a qualitative study using semi-structured interviews to ascertain primary care HCPs' views and experiences of education for people with newly diagnosed Type 2 diabetes. A thematic framework method was applied to analyse the data. Participants were HCPs (N = 22) from 15 general practices in three south London boroughs.
All but one HCP viewed diabetes education favourably and all identified that low attendance was a problem. Three key themes emerged from the qualitative data: (1) benefits of diabetes education, including the group mode of delivery, improved patient interactions, saving HCPs' time and improved patient outcomes; (2) factors limiting uptake of education, including patient-level problems such as access and the appropriateness of the programme for certain groups, and difficulties communicating the benefits to patients and integration of education management plans into ongoing diabetes care; and (3) suggestions for improvement, including strategies to improve attendance at education with more localized and targeted marketing and enhanced programme content including follow-up sessions and support for people with pre-existing psychological issues.
Most HCPs valued diabetes education and all highlighted the lack of provision for people with different levels of health literacy. Because there was wide variation in terms of the level of knowledge regarding the education on offer, future studies may want to focus on how to help HCPs encourage their patients to attend.
确定医疗保健专业人员(HCP)对新诊断2型糖尿病患者进行小组结构化教育的看法。
这是一项定性研究,采用半结构化访谈来确定基层医疗保健专业人员对新诊断2型糖尿病患者教育的看法和经验。应用主题框架法对数据进行分析。参与者是来自伦敦南部三个行政区15家全科诊所的医疗保健专业人员(N = 22)。
除一名医疗保健专业人员外,其他所有人都对糖尿病教育持积极看法,并且所有人都认为出勤率低是一个问题。定性数据中出现了三个关键主题:(1)糖尿病教育的益处,包括小组授课方式、改善患者互动、节省医疗保健专业人员的时间以及改善患者预后;(2)限制教育参与率的因素,包括患者层面的问题,如获取途径以及该项目对某些群体的适用性,以及向患者传达益处的困难和将教育管理计划纳入持续糖尿病护理的困难;(3)改进建议,包括通过更本地化和有针对性的营销提高教育出勤率的策略,以及增强项目内容,包括后续课程和对已有心理问题患者的支持。
大多数医疗保健专业人员重视糖尿病教育,并且所有人都强调缺乏针对不同健康素养水平人群的服务。由于对所提供教育的了解程度差异很大,未来的研究可能希望专注于如何帮助医疗保健专业人员鼓励患者参加。