J Contin Educ Nurs. 2020 Mar 1;51(3):119-123. doi: 10.3928/00220124-20200216-06.
Diabetes self-management education and support (DSME/S) has been demonstrated as an effective intervention and a billable service; however, DSME/S has yet to be successfully translated and diffused into mainstream practice. This project sought to improve glycemic control (measured by A1C or fasting blood glucose [FBG]) and quality of life (QOL) of Medicare patients age 65 years and older with type 2 diabetes (T2DM) using DSME/S. DSME/S included information sharing between patients and providers, psychosocial support, behavioral support with lifestyle modification, multi-disciplinary integration, and care coordination. Patient-specific data were compared before and 4 weeks after project implementation. Use of DSME/S increased by 15% (p < .005). Participants demonstrated a statistically significant decrease in mean FBG and a statistically significant increase in QOL. This project demonstrated the successful translation of evidence related to DSME/S into practice through improving diabetes care and promoting continuing education for all of the providers. [J Contin Educ Nurs. 2020;51(3):119-123.].
糖尿病自我管理教育和支持（DSME/S）已被证明是一种有效的干预措施和计费服务；然而，DSME/S 尚未成功转化并普及到主流实践中。本项目旨在通过 DSME/S 改善 65 岁及以上 2 型糖尿病（T2DM）医疗保险患者的血糖控制（通过 A1C 或空腹血糖[FBG]测量）和生活质量（QOL）。DSME/S 包括患者与提供者之间的信息共享、心理社会支持、生活方式改变的行为支持、多学科整合和护理协调。在项目实施前后比较患者的具体数据。DSME/S 的使用增加了 15%（p <.005）。参与者的 FBG 均值显著下降，QOL 显著提高。该项目通过改善糖尿病护理和促进所有提供者的继续教育，成功地将与 DSME/S 相关的证据转化为实践。[J Contin Educ Nurs. 2020;51(3):119-123. ]。
