评估伊朗伊斯法罕糖尿病教育单位的糖尿病自我管理教育与支持结构。
Appraisal the structure of diabetes self-management education and support in diabetes education units of Isfahan, Iran.
作者信息
Alijani Marzieh, Siavash Mansour, Abazari Parvaneh
机构信息
Student Research Committee, University of Medical Sciences, Isfahan, Iran.
Professor of Endocrinology Isfahan Endocrine and Metabolism Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.
出版信息
J Educ Health Promot. 2024 Aug 29;13:311. doi: 10.4103/jehp.jehp_789_23. eCollection 2024.
BACKGROUND
Diabetes self-management education and support (DSMES) is an approach to improve preventive practices and behaviors with a focus on decision-making, problem-solving, and self-care. The present study was designed to appraisal structural standards of Diabetes Self-Management Education (DSME) in Isfahan province.
MATERIALS AND METHODS
The sample size included 170 files of patients with diabetes in 31 diabetes education units. The data collection tools were a checklist with 62 items and a questionnaire. Data was collected via observation and interview. In each diabetes education unit, theresearcherfirst observed the physical space and equipment of the classroom and completed the relevant items in the checklist. Then participated in one individual and one group education session and completed the checklist withthe relevant items. At the end of the session, the researcher completed the questionnaire by interviewing the educator. The collected data were described using SPSS version 21 software.
RESULTS
Regarding the characteristics of educators. All of them had started working as an educator without completing the diabetes education courseandabout a third of them had less than one year of work experience (29%) in diabetes units. Regarding physical space, about 90% of the education units had proper lighting, cooling and heating devices, and less than half (48.4%) had proper ventilation. In 3.2% of diabetes units, educators had access to the Internet. In none of the diabetes education units(%0), there was an up-to-date and evidence-based documented curriculum.
CONCLUSION
The results of the present study showed serious challenges in the field of the structure of DSMES in the diabetes education units of Isfahan province. Considering the necessity and critical importance of diabetes education, policymakers in the field of diabetes management can benefit fromthese results for planning to help improve this situation.
背景
糖尿病自我管理教育与支持（DSMES）是一种改善预防措施和行为的方法，重点在于决策、问题解决和自我护理。本研究旨在评估伊斯法罕省糖尿病自我管理教育（DSME）的结构标准。
材料与方法
样本量包括31个糖尿病教育单位的170份糖尿病患者档案。数据收集工具是一份包含62项内容的清单和一份问卷。数据通过观察和访谈收集。在每个糖尿病教育单位，研究人员首先观察教室的物理空间和设备，并完成清单中的相关项目。然后参加一次个体教育课程和一次小组教育课程，并完成清单中的相关项目。课程结束时，研究人员通过采访教育工作者完成问卷。使用SPSS 21版软件对收集到的数据进行描述。
结果
关于教育工作者的特征。他们所有人开始担任教育工作者时都没有完成糖尿病教育课程，约三分之一的人在糖尿病单位的工作经验少于一年（29%）。关于物理空间，约90%的教育单位有适当的照明、制冷和供暖设备，不到一半（48.4%）有适当的通风。在3.2%的糖尿病单位中，教育工作者可以使用互联网。在所有糖尿病教育单位（0%）中，都没有最新的、基于证据的书面课程。
结论
本研究结果表明，伊斯法罕省糖尿病教育单位的DSMES结构领域存在严峻挑战。考虑到糖尿病教育的必要性和至关重要性，糖尿病管理领域的政策制定者可以从这些结果中受益，以规划帮助改善这种情况。
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