目的:探讨糖尿病自主管理教育(DSME)中增添Nurse case manager(NCM)的可行性。方法:选取在我院就诊糖尿病患者83名,随机分为实验组和对照组,对照组给予DSME干预,实验组在接受有效的DSME干预的基础上,增加NCM护理。分别在实验前、实验的...目的:探讨糖尿病自主管理教育(DSME)中增添Nurse case manager(NCM)的可行性。方法:选取在我院就诊糖尿病患者83名,随机分为实验组和对照组,对照组给予DSME干预,实验组在接受有效的DSME干预的基础上,增加NCM护理。分别在实验前、实验的第3个月、第6个月检测患者糖尿病相关指标,并对上述结果进行综合分析。结果:实验组和对照组在受到DMSE干预后,均能表现出积极的临床效果,增加NCM护理后治疗效果更佳;身体质量指数的降低,女性较男性显著;NCM能提升患者DMSE干预会议参与率。相对于电话访问,患者更容易接受NCM面对面访问。结论:DSME中增添Nurse case manager(NCM)能有效的改善糖尿病病况。展开更多
South Asians have an exceptionally high risk for developing Type 2 diabetes mellitus.It is very challenging for healthcare providers to successfully manage diabetes and control glucose levels at target due to the uniq...South Asians have an exceptionally high risk for developing Type 2 diabetes mellitus.It is very challenging for healthcare providers to successfully manage diabetes and control glucose levels at target due to the unique lifestyle of the South Asian population.Culturally tailored diabetes self-management education and support(DSMES)can be more effective in guiding South Asian patients with Type 2 diabetes.Unique considerations to address lifestyle modification for South Asians include a diet that typically consists of a high carbohydrate to lipids/proteins ratio,preference for high glucose index fruits,regular intake of traditional sweets or desserts,late afternoon tea break followed by late dinner,lack of vigorous exercise(yoga or walking being the preferred activity),lack of DSMES knowledge and skills,and poor access to culturally appropriate resources for diabetes care.We present a 38-year-old male diagnosed with diabetes four years ago who showed poor glucose control before our intervention.Our interventions included education on the importance of blood glucose monitoring,exercise,and diet.Based on our experience with this case,we propose the following recommendations for a tailored approach to DSMES for South Asian patients with Type 2 diabetes:make appropriate dietary changes(decrease total daily caloric intake,decrease the percentage of carbohydrates,add low glucose index fruits and vegetables,avoid late afternoon tea breaks,eat dinner before 8 PM);incorporate appropriate daily physical activity;and monitor blood glucose daily for prompt feedback.展开更多
Objectives: Treatment preferences affect treatment engagement, adherence and outcomes. There is limited knowledge of patients’ preferences for Diabetes Self-Management Education (DSME). This study explored the prefer...Objectives: Treatment preferences affect treatment engagement, adherence and outcomes. There is limited knowledge of patients’ preferences for Diabetes Self-Management Education (DSME). This study explored the preferences of Canadians with diabetes for components, mode and dose for implementing DSME interventions. Methods: A cross-sectional design was used. Adults with diabetes completed a questionnaire to assess participants’ preferences for components (i.e. content), mode (i.e. teaching strategies, delivering formats) and dose (i.e. number and length of sessions) of DSME. Descriptive statistics were used to analyze the data. Results: Participants (n = 100) were middle-aged men and women, who had diabetes for 6.1 years and previously received (95.0%) DSME. They indicated preference for DSME to include a combination of educational, behavioral and psychological components;to be delivered in individual, face-to-face sessions (4 sessions, 60 minutes each, given monthly) that allowed discussion with one diabetes educator to develop and carry out a care plan. Conclusions: Diabetes educators may consider eliciting patient’s preferences and tailoring DSME to fit patients’ preferences. Delivering interventions that are consistent with patients’ preferences increases their motivation to engage in intervention, satisfaction and adherence to treatment and achievement of desired outcomes.展开更多
文摘目的:探讨糖尿病自主管理教育(DSME)中增添Nurse case manager(NCM)的可行性。方法:选取在我院就诊糖尿病患者83名,随机分为实验组和对照组,对照组给予DSME干预,实验组在接受有效的DSME干预的基础上,增加NCM护理。分别在实验前、实验的第3个月、第6个月检测患者糖尿病相关指标,并对上述结果进行综合分析。结果:实验组和对照组在受到DMSE干预后,均能表现出积极的临床效果,增加NCM护理后治疗效果更佳;身体质量指数的降低,女性较男性显著;NCM能提升患者DMSE干预会议参与率。相对于电话访问,患者更容易接受NCM面对面访问。结论:DSME中增添Nurse case manager(NCM)能有效的改善糖尿病病况。
文摘South Asians have an exceptionally high risk for developing Type 2 diabetes mellitus.It is very challenging for healthcare providers to successfully manage diabetes and control glucose levels at target due to the unique lifestyle of the South Asian population.Culturally tailored diabetes self-management education and support(DSMES)can be more effective in guiding South Asian patients with Type 2 diabetes.Unique considerations to address lifestyle modification for South Asians include a diet that typically consists of a high carbohydrate to lipids/proteins ratio,preference for high glucose index fruits,regular intake of traditional sweets or desserts,late afternoon tea break followed by late dinner,lack of vigorous exercise(yoga or walking being the preferred activity),lack of DSMES knowledge and skills,and poor access to culturally appropriate resources for diabetes care.We present a 38-year-old male diagnosed with diabetes four years ago who showed poor glucose control before our intervention.Our interventions included education on the importance of blood glucose monitoring,exercise,and diet.Based on our experience with this case,we propose the following recommendations for a tailored approach to DSMES for South Asian patients with Type 2 diabetes:make appropriate dietary changes(decrease total daily caloric intake,decrease the percentage of carbohydrates,add low glucose index fruits and vegetables,avoid late afternoon tea breaks,eat dinner before 8 PM);incorporate appropriate daily physical activity;and monitor blood glucose daily for prompt feedback.
文摘Objectives: Treatment preferences affect treatment engagement, adherence and outcomes. There is limited knowledge of patients’ preferences for Diabetes Self-Management Education (DSME). This study explored the preferences of Canadians with diabetes for components, mode and dose for implementing DSME interventions. Methods: A cross-sectional design was used. Adults with diabetes completed a questionnaire to assess participants’ preferences for components (i.e. content), mode (i.e. teaching strategies, delivering formats) and dose (i.e. number and length of sessions) of DSME. Descriptive statistics were used to analyze the data. Results: Participants (n = 100) were middle-aged men and women, who had diabetes for 6.1 years and previously received (95.0%) DSME. They indicated preference for DSME to include a combination of educational, behavioral and psychological components;to be delivered in individual, face-to-face sessions (4 sessions, 60 minutes each, given monthly) that allowed discussion with one diabetes educator to develop and carry out a care plan. Conclusions: Diabetes educators may consider eliciting patient’s preferences and tailoring DSME to fit patients’ preferences. Delivering interventions that are consistent with patients’ preferences increases their motivation to engage in intervention, satisfaction and adherence to treatment and achievement of desired outcomes.
