糖尿病患者自我管理的概念演变及最新理论模型被引量：9

Concept and New Theory Model of Diabetes Self-management

下载PDF

导出

摘要糖尿病遵医行为的概念经历了从依从性、遵守性到自我管理的演变过程,糖尿病患者在健康行为决策过程中的作用日益受到重视,并被认为应该主动的处于整个健康系统的中心位置。社会生态模型是糖尿病遵医行为研究的最新理论模型,该模型以社会学的视角评估了环境和社会支持因素对糖尿病自我管理的影响,包括了个体内、个体间和个体外部(环境) 三个方面的因素。在国外,该模型已被成功的应用于糖尿病教育项目,对国内的糖尿病教育具有重要的借鉴价值。 The concept of diabetes self - management has come from compliance and adherence. Enough attention is paid to the patients dicision - making strategies for health behavior. Social ecological model to assess the influence of social environment and social support according to the viewpoint of the sociology is the newest model about diabetes self - management. The social ecological model is successfully applied to diabetes education project abroad.

作者华丽李红

机构地区浙江大学医学院附属邵逸夫医院内分泌科

出处《国际老年医学杂志》 2010年第3期132-135,共4页 International Journal of Geriatrics

关键词糖尿病自我管理社会生态模型精尿病教育 Diabetes selfmanagement Social ecological model Diabetes education

分类号 R473.5 [医药卫生—护理学]

引文网络
相关文献

参考文献20

1Haynes RB, Taylor DW, Sackett DL. Compliance in health care [ J ]. Baltimore : Johns Hopkins University Press, 1979: 1.
2Dracup KA, Meleis AI. Compliance: an interactionist approach [J]. Nurs Res, 1982, 33 (1): 33-36.
3Lutfey KE, Wishner WJ. Beyond compliance is adherence [J]. Diabetes Care, 1999, 22 (4): 635 - 639.
4Glasgow RE, Anderson RM. In diabetes care, moving from compliance to adherence is not enough [J]. Diabetes Care, 1999, 22 (12) : 2090 -2092.
5Hendricks LE, Hendricks RT. The effect of diabetes self-management education with frequent follow- up on the health outcomes of African American men [J].The Diabetes Educator, 2000, 26 (6): 995-1002.
6Cox RH, Carpenter JP, Bruce FA, et al. Characteristics of low - income African - American and Caucasian adults that are important in self-management of type 2 diabetes [J]. J Community Health, 2004, 29 (2): 155-170.
7Persell SD, Keating NL, Landrum MB, et al. Relationship of diabetes - specific knowledge to self - management activities, ambulatory preventive care, and metabolic outcomes [J]. Prev Med, 2004, 39 (4) : 746 - 752.
8Utz SW, Steeves RH, Wenzel J, et al. " Working hard with it" : Self- management of type 2 diabetes by rural African Americans [ J ]. Family & Community Health, 2006, 29 (3): 195-205.
9Anderson RM. Patient empowerment and the traditional medical model. A Case of irreconcilable differences [J]? Diabetes Care, 1995, 18 (3): 412-415.
10Stokols D. Translating social ecological theory into guidelines for community health promotion[J].Am J Health Promotion, 1996, 10 (4) : 282 -298.