糖尿病甜蜜蜜家园的运作机制与效果  

Operation mode and effect of the Sweet Home for diabetic patients

作　　者：张丹毓[1] 楼青青[2] 袁晓丹[1] 姚平[1] 申翘璇[1] 刘媛[1] 刘超[1] 

机构地区：[1]南京中医药大学附属江苏省中西医结合医院内分泌代谢病院区,201128 [2]南京中医药大学附属江苏省中西医结合医院内健康教育科,201128

出　　处：《中华现代护理杂志》2012年第35期4238-4241,共4页Chinese Journal of Modern Nursing

摘　　要：目的探讨建立适合我国国情的糖尿病教育新模式，挖掘提高糖尿病教育效果的新思路。方法通过培养和提高糖尿病教育护士的素质，提升患者的信任度和满意度；拓展糖尿病教育的形式，吸引患者积极参与；通过个案管理的方法将教育效果落实到患者的行为改变；建立患者教育小组，推进患者自我悦纳和重返社会；构建糖尿病患者长期管理体系，提供持续性支持。结果糖尿病教育护士的自身素质得到全面提高；组织多样化大型糖尿病教育活动13项及多项其他形式的活动；甜蜜蜜家园糖尿病患者会员从15～20人发展至2586人；2011年患者平均糖化血红蛋白（HbAlc）为（7．16±4±1．67）％，其中HbAlc〈6．5％的患者为42．9％，HbAlc〈7％的患者为60．5％。门诊就诊人数的年增长率由2009年以前的7．9％，增长为2010年的36．0％和2011年的47．0％。结论以创新活动、个案管理、小组教育、行为改变、持续支持、自我悦纳为核心理念的糖尿病教育新模式，即甜蜜蜜家园开展的糖尿病教育，能提高患者参与糖尿病教育的积极性，并有效改善糖尿病教育的效果。Objective To set up the new models of diabetic education which is suitable for our national conditions in order to improve the teaching effect. Methods Many of methods were used such as training and improving diabetes nurse educators＇ quality, expanding the forms of diabetes education to attract patients＇ participate, implementing individual education case management, setting up the intersection of patient and educational group, establishing a long-term management system to offer continuous support. Results Integrated development of diabetes nurse educators＇ quality was achieved. Thirteen diversified large scale educational activities as well as others different forms were performed. The member of Sweet Home for the diabetic patients was increased from 15 -20 to 2 586 at the end of 2011. The average glycosylated hemoglobin of the members was 7.16% ± 1.67%, among which,the percent of patients with HbAlc 〈6.5% was 42.9% and patients with HbA1 c 〈 7% was 60.5%. The annual rate of outpatient was increased from 7.9% of 2009 to 36% of 2010 and 47% of 2011. Conclusions The diabetes education performed in our Sweet Home which including innovative activities, individual case management, educational group, behavioral change, continuous support and self- cheer, can promote patients to participate in the diabetes education with enthusiasm and improve the result of diabetes education effectively.

关 键 词：糖尿病 教育 个案管理 行为改变 

分 类 号：R473.5[医药卫生—护理学]