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跨专业协作在糖尿病足自我管理教学中的重要性:医疗保健专业人员的看法。

Importance of interprofessional collaboration in teaching diabetic foot self-management: Perceptions of health care professionals.

作者信息

Prabhath Sushma, Handady Ganesh, Herle Gagana, Kamath M Ganesh, Ramanathan Harihara Prakash

机构信息

Associate Professor (Anatomy) & Faculty of Medical Education, Kasturba Medical College, Manipal, Manipal Academy of Higher Education, Manipal, Karnataka, India.

Resident (Anatomy), Kasturba Medical College Manipal, Manipal Academy of Higher Education, Manipal, Karnataka, India.

出版信息

Med J Armed Forces India. 2024 Dec;80(Suppl 1):S135-S143. doi: 10.1016/j.mjafi.2023.01.003. Epub 2023 Apr 3.

Abstract

BACKGROUND

Diabetes and associated diabetic foot ulcers require coordinated management, including several health care professional (HCPs). Therefore, an interprofessional (IP) team-based approach is essential for effectively managing and educating the population on diabetic foot self-management strategies. However, the perceptions of the HCPs related to the importance of IP teamwork in diabetic foot care and their readiness to work in an IP team are less explored.

METHODS

This qualitative study aimed to investigate the HCPs' perception on the importance of IP collaboration in diabetic foot care and their readiness to work as part of an IP team in teaching patients' effective diabetic foot self-management techniques. The study includes seven HCPs involved in diabetic foot management patient education and treatment. In-depth interviews using an interview guide and a thematic analysis of the interview transcripts were undertaken.

RESULTS

Every participant was strongly motivated to be an IP team member. The following themes were identified that supported IP team-based approach in diabetic foot care: 'patient-centric practices,' 'comprehensive care,' 'teamwork and coordination for improved patient outcome,' 'integrated approach,' 'professional knowledge amalgamation,' 'time-management,' 'education in a favorable environment,' 'constant motivation and support through educational modules,' and 'commitment and policy reforms.'

CONCLUSIONS

The HCPs' were aware about the benefits of IP team-based approach in diabetic foot care. They further expressed their willingness to work as part of an IP team and suggested appropriate teaching methods for diabetic foot self-management. This manuscript thus attempts to create an awareness about the importance of IP approach in teaching the proper practices of diabetic foot care. The problems faced in implementing an IP approach in diabetic foot care and the possible solutions are also discussed.

摘要

背景

糖尿病及相关的糖尿病足溃疡需要协调管理,涉及多名医疗保健专业人员(HCPs)。因此,基于跨专业(IP)团队的方法对于有效管理糖尿病足自我管理策略并对人群进行教育至关重要。然而,关于HCPs对IP团队合作在糖尿病足护理中的重要性的看法以及他们在IP团队中工作的意愿的研究较少。

方法

这项定性研究旨在调查HCPs对IP合作在糖尿病足护理中的重要性的看法,以及他们作为IP团队一员教授患者有效的糖尿病足自我管理技术的意愿。该研究包括七名参与糖尿病足管理、患者教育和治疗的HCPs。使用访谈指南进行了深入访谈,并对访谈记录进行了主题分析。

结果

每位参与者都强烈希望成为IP团队的一员。确定了以下支持糖尿病足护理中基于IP团队方法的主题:“以患者为中心的实践”、“全面护理”、“团队合作与协调以改善患者结局”、“综合方法”、“专业知识融合”、“时间管理”、“在有利环境中进行教育”、“通过教育模块持续激励和支持”以及“承诺与政策改革 ”。

结论

HCPs意识到基于IP团队的方法在糖尿病足护理中的益处。他们进一步表示愿意作为IP团队的一员工作,并提出了糖尿病足自我管理的适当教学方法。因此,本文试图提高人们对IP方法在教授糖尿病足护理正确实践中的重要性的认识。还讨论了在糖尿病足护理中实施IP方法所面临的问题及可能的解决方案。

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Descriptive study on the knowledge, attitudes and practices regarding the diabetic foot.关于糖尿病足的知识、态度和实践的描述性研究
J Taibah Univ Med Sci. 2017 Mar 21;12(6):492-496. doi: 10.1016/j.jtumed.2017.02.001. eCollection 2017 Dec.
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An integrative systematic review of interprofessional education on diabetes.关于糖尿病跨专业教育的综合系统评价
J Interprof Care. 2018 Nov;32(6):706-718. doi: 10.1080/13561820.2018.1500453. Epub 2018 Jul 24.

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