糖尿病健康促进管理精简版.pptxVIP

糖尿病健康促进的管理广西医科大学第一附属医院内分泌科 罗佐杰糖尿病教育(Diabetes Education)定义Diabetes education, also known as diabetes self-management training (DSMT) or diabetes self-management education (DSME) ——is defined as a collaborative process through which people with or at risk for diabetes gain the knowledge and skills needed to modify behavior and successfully self-manage the disease and its related conditions. National Standards for DSMEStructureProcessOutcomesStandard 5: Instructional Team Staff Continuing EdStandard 1: OrganizationStandard 9: AADE 7 Self-Care BehaviorsStandard 6: Written CurriculumStandard 2: GovernanceStandard 10: CQI (Continuous quality improvement)Standard 7: Assess/Intervene DocumentationStandard 3: Target PopulationStandard 8: DSMSStandard 4: Program coordinatorFunnell MM, et al. Diabetes Care, 2007; 30: 1630 - 1637DSME Outcomes StandardsAADE. The Diabetes Educator, 2003; 29: 804 - 816AADE7(TM) Self-Care BehaviorsAADE. The Diabetes Educator, 2003; 29: 804 - 816DSME Circle of QualityAADE. The Diabetes Educator, 2003; 29: 804 - 816糖尿病教育的趋势Previously, diabetes educators focused on teaching the right content.Now, increased emphasis on patient-centered or collaborative approaches to care and education.糖尿病教育的趋势Tomky et al. The Diabetes Educator, 2008; 34: 445 - 449糖尿病教育的趋势Greater understanding of the need for ongoing support for patients to sustain initial improvements resulting from DSME.糖尿病教育的趋势From DSME to DSMS : Developing Empowerment-Based Diabetes Self-Management Support (DSMS)Structure of DSMS InterventionFunnell MM, et al. Diabetes Spectr , 2007,20: 221-226国内糖尿病教育现状缺乏完整的团队管理重教轻实践效果评估重教育项目的结构和程序 缺乏明确的指标 缺乏规范化的量表和健康促进管理措施 缺乏大样本、长时间的 评价追踪研究 缺乏标准化、系统化的管理信息系统 没有普及糖尿病教育创新教育模式 立足行为改变 —— 广西医科大第一附属医院内分泌科成立糖尿病教育基地广西医科大第一附属医院内分泌科从1999年开始创建糖尿病教育基地我们开展的一些工作注重糖尿病患者行为方面的改变多样化的患教模式采用糖尿病轻松课堂进行教育糖尿病量化运动处方的开发与实施建立一体化糖尿病网络教育和管理平台 注重糖尿病患者行为方面的改变主题活动糖尿病快乐大本营糖尿病快乐厨房《合理饮食轻松降血糖》糖尿病患者足部自护能力的培养 2000—2007年世界糖尿病日的主题活动重阳节举办“关爱老年糖尿病患者”主题活动母亲节举办“幽幽康乃馨”插花大赛七夕节举办“心有灵犀一点通”主题活动中秋节举办“月是故乡园