Beck Joni, Greenwood Deborah A, Blanton Lori, Bollinger Sandra T, Butcher Marcene K, Condon Jo Ellen, Cypress Marjorie, Faulkner Priscilla, Fischl Amy Hess, Francis Theresa, Kolb Leslie E, Lavin-Tompkins Jodi M, MacLeod Janice, Maryniuk Melinda, Mensing Carolé, Orzeck Eric A, Pope David D, Pulizzi Jodi L, Reed Ardis A, Rhinehart Andrew S, Siminerio Linda, Wang Jing
University of Oklahoma Health Sciences Center, College of Medicine, Oklahoma City, Oklahoma.
Consultant, Granite Bay, California.
Diabetes Educ. 2019 Feb;45(1):34-49. doi: 10.1177/0145721718820941. Epub 2018 Dec 17.
The purpose of this study is to review the literature for Diabetes Self-Management Education and Support (DSMES) to ensure the National Standards for DSMES (Standards) align with current evidence-based practices and utilization trends.
The 10 Standards were divided among 20 interdisciplinary workgroup members. Members searched the current research for diabetes education and support, behavioral health, clinical, health care environment, technical, reimbursement, and business practice for the strongest evidence that guided the Standards revision.
Diabetes Self-Management Education and Support facilitates the knowledge, skills, and ability necessary for diabetes self-care as well as activities that assist a person in implementing and sustaining the behaviors needed to manage their condition on an ongoing basis. The evidence indicates that health care providers and people affected by diabetes are embracing technology, and this is having a positive impact of DSMES access, utilization, and outcomes.
Quality DSMES continues to be a critical element of care for all people with diabetes. The DSMES services must be individualized and guided by the concerns, preferences, and needs of the person affected by diabetes. Even with the abundance of evidence supporting the benefits of DSMES, it continues to be underutilized, but as with other health care services, technology is changing the way DSMES is delivered and utilized with positive outcomes.
本研究旨在回顾糖尿病自我管理教育与支持（DSMES）的相关文献，以确保《DSMES国家标准》（标准）与当前基于证据的实践和利用趋势保持一致。
将10项标准分配给20名跨学科工作组成员。成员们检索了当前关于糖尿病教育与支持、行为健康、临床、医疗保健环境、技术、报销和商业实践的研究，以寻找指导标准修订的最有力证据。
糖尿病自我管理教育与支持促进了糖尿病自我护理所需的知识、技能和能力，以及帮助个人持续实施和维持管理病情所需行为的活动。证据表明，医疗保健提供者和糖尿病患者正在接受技术，这对DSMES的获取、利用和结果产生了积极影响。
高质量的DSMES仍然是所有糖尿病患者护理的关键要素。DSMES服务必须个性化，并以糖尿病患者的关注点、偏好和需求为指导。尽管有大量证据支持DSMES的益处，但它仍然未得到充分利用，不过与其他医疗保健服务一样，技术正在改变DSMES的提供和利用方式，并产生积极效果。
