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医疗保健专业人员对糖尿病患者健康指导的看法:印度尼西亚的一项初步探索。

Healthcare professionals' opinions regarding health coaching for patients with diabetes: A pilot exploration in Indonesia.

作者信息

Kusumaningrum Niken Safitri Dyan, Asmara Fatikhu Yatuni, Nurmalia Devi

机构信息

Adult Nursing Division, Department of Nursing, Faculty of Medicine, Diponegoro University, Indonesia.

Maternity and Pediatric Division, Department of Nursing, Faculty of Medicine, Diponegoro University, Indonesia.

出版信息

Belitung Nurs J. 2022 Feb 22;8(1):67-74. doi: 10.33546/bnj.1970. eCollection 2022.

DOI:10.33546/bnj.1970
PMID:37521073
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10386796/
Abstract

BACKGROUND

Diabetes management is applied for the entire patients' lives, so it requires lifelong sustainable self-management actions to have a positive impact. Integrated care as coaching intervention is considered a program that facilitates and supports patients in managing diabetes more effectively and optimally. However, there are limited studies regarding this program in Indonesia.

OBJECTIVE

This study aimed to explore the opinions of healthcare professionals concerning the importance of health coaching for patients with diabetes in Indonesia.

METHODS

An invitation letter via email was distributed individually to participants from the three provinces of Java, Indonesia, between June and August 2020. The open-ended questions that consist of two sections were developed to explore the matter related to health coaching for patients with diabetes. A descriptive analysis of the participants' answers was used to explain the data comprehensively and accurately reveal the complete information.

RESULTS

A total of seven healthcare professionals from four professions participated in the study. Based on healthcare professionals' opinions, this study revealed that the most common reason health coaching needs to be implemented is related to self-management in dealing with diabetes. Health coaching as a tailored-intervention strategy in diabetes self-management requires a multidisciplinary approach and considers the local wisdom to achieve the expected goals in all aspects of patients' lives. Thus, health coaching as an integral part of diabetes self-management is considered an appropriate program to cope with this problem.

CONCLUSION

Health coaching for patients with diabetes is useful and reasonable to implement among patients with appropriate strategies, especially in Indonesia and beyond.

摘要

背景

糖尿病管理适用于患者的一生,因此需要终身可持续的自我管理行为才能产生积极影响。作为指导干预的综合护理被认为是一个有助于并支持患者更有效、更优化地管理糖尿病的项目。然而,在印度尼西亚,关于该项目的研究有限。

目的

本研究旨在探讨医疗保健专业人员对印度尼西亚糖尿病患者健康指导重要性的看法。

方法

2020年6月至8月期间,通过电子邮件向印度尼西亚爪哇省三个省份的参与者分别发送了邀请函。设计了由两部分组成的开放式问题,以探讨与糖尿病患者健康指导相关的问题。对参与者的回答进行描述性分析,以全面解释数据并准确揭示完整信息。

结果

共有来自四个专业的七名医疗保健专业人员参与了该研究。根据医疗保健专业人员的意见,本研究表明,需要实施健康指导的最常见原因与应对糖尿病的自我管理有关。健康指导作为糖尿病自我管理中的一种量身定制的干预策略,需要多学科方法,并考虑当地智慧,以在患者生活的各个方面实现预期目标。因此,健康指导作为糖尿病自我管理的一个组成部分,被认为是应对这一问题的合适项目。

结论

对糖尿病患者进行健康指导,并采用适当策略实施,对患者尤其是印度尼西亚及其他地区的患者是有用且合理的。

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Nutrients. 2021 Oct 29;13(11):3878. doi: 10.3390/nu13113878.
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Alleviating diabetes distress and improving diabetes self-management through health coaching in a primary care setting.在初级保健环境中通过健康指导减轻糖尿病困扰并改善糖尿病自我管理。
BMJ Case Rep. 2021 Apr 20;14(4):e241759. doi: 10.1136/bcr-2021-241759.
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The Effects of Nurse-Led Multidisciplinary Team Management on Glycosylated Hemoglobin, Quality of Life, Hospitalization, and Help-Seeking Behavior of People with Diabetes Mellitus.护士主导的多学科团队管理对糖尿病患者糖化血红蛋白、生活质量、住院和寻求帮助行为的影响。
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