Person with Type 1 diabetes, UK.
Greater Manchester Strategic Clinical Network, UK.
Diabet Med. 2018 Dec;35(12):1630-1634. doi: 10.1111/dme.13705.
The language used by healthcare professionals can have a profound impact on how people living with diabetes, and those who care for them, experience their condition and feel about living with it day-to-day. At its best, good use of language, both verbal and written, can lower anxiety, build confidence, educate and help to improve self-care. Conversely, poor communication can be stigmatizing, hurtful and undermining of self-care and can have a detrimental effect on clinical outcomes. The language used in the care of those with diabetes has the power to reinforce negative stereotypes, but it also has the power to promote positive ones. The use of language is controversial and has many perspectives. The development of this position statement aimed to take account of these as well as the current evidence base. A working group, representing people with diabetes and key organizations with an interest in the care of people with diabetes, was established to review the use of language. The work of this group has culminated in this position statement for England. It follows the contribution of Australia and the USA to this important international debate. The group has set out practical examples of language that will encourage positive interactions with those living with diabetes and subsequently promote positive outcomes. These examples are based on a review of the evidence and are supported by a simple set of principles.
医护人员使用的语言会对糖尿病患者及其照护者的体验产生深远影响，包括他们对自身病情的感受以及日常的生活方式。语言的恰当使用（包括口头和书面语）可以减轻焦虑、增强信心、提供教育并有助于改善自我护理，在最好的情况下可以达到这种效果。相反，沟通不畅可能会带来污名化、伤害和自我护理的削弱，对临床结果产生不利影响。在糖尿病患者护理中使用的语言有强化负面刻板印象的力量，但也有促进积极影响的力量。语言的使用颇具争议性，有许多不同的观点。本立场声明的制定旨在考虑到这些观点以及当前的证据基础。一个代表糖尿病患者以及对糖尿病患者护理有兴趣的主要组织的工作组已经成立，负责审查语言的使用。该工作组的工作成果最终形成了这份针对英格兰的立场声明。它借鉴了澳大利亚和美国在这一重要国际辩论中的贡献。该工作组提出了鼓励与糖尿病患者积极互动的语言示例，从而促进积极的结果。这些示例基于对证据的审查，并得到了一组简单原则的支持。
