THE DIABETES EDUCATION EXPERIENCE OF THE RANDOMLY SELECTED PATIENTS UNDER THE CARE OF COMMUNITY PHYSICIANS

被引：10

作者：

ANDERSON, RM

HISS, RG

STEPIEN, CJ

FITZGERALD, JT

FUNNELL, MM

机构：

[1] University of Michigan Medical School, Michigan Diabetes Research and Training Center, Towsley Center for Continuing Medical Education, Ann Arbor, Michigan

来源：

DIABETES EDUCATOR | 1994年 / 20卷 / 05期

关键词：

D O I：

10.1177/014572179402000506

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

The purpose of this study was to describe the diabetes education and nutritional counseling received by patients under the active care of community physicians. The study population consisted of 440 patients with diabetes from the practices of 68 primary care physicians in eight Michigan communities. Fifty-eight percent of the sample reported having received diabetes education, and the mean number of years since the most recent education was 4.15 years. Sixty-six percent reported having seen a dietitian. Patients who had received diabetes education scored higher on a basic diabetes knowledge test (70% correct vs 60%) than patients who had not received diabetes education. From 1981 to 1991, a decline was observed in the percentage of patients who reported having received diabetes education (70% to 58%). Although patient education is an integral part of comprehensive diabetes care, too few patients are receiving it. Furthermore, diabetes education often results in less-than-optimal levels of knowledge. The situation has deteriorated over the past 10 years, and patients who are not on insulin typically are the least well served.

引用

页码：399 / 405

页数：7

共 18 条

[1]

Healthy People 2000: national health promotion and disease prevention objectives., (1990)

[2]

American D.A., Standards of medical care for patients with diabetes mellitus, Diabetes Care, 15, 2, pp. 10-13, (1992)

[3]

Brown S.A., Effects of educational interventions and outcomes in diabetic adults: a meta-analysis revisited, Patient Educ Couns, 16, pp. 189-215, (1990)

[4]

Brown S.A., Studies of educational interventions in diabetes care: a meta-analysis of findings, Nur Res, 37, pp. 223-230, (1988)

[5]

Padgett D., Mumford E., Haynes M., Carter R., Meta-analyses of the affects of educational and psychosocial interventions on management of diabetes mellitus, J Clin Epidemiol, 41, pp. 1007-1030, (1988)

[6]

Halpern M., The impact of diabetes education in Michigan, Diabetes, 38, 2, (1989)

[7]

Chapko M.K., Norman J.L., Bell-Hart M., Nagusky D., Connell F.A., Increasing the utilization of outpatient diabetes education programs, Diabetes Educ, 13, pp. 116-118, (1987)

[8]

Jenny J.L., Differences in adaptation to diabetes between insulin-dependent and non-insulin-dependent patients: implications for patient education, Patient Educ Couns, 8, pp. 39-50, (1986)

[9]

Irvine A.A., Mitchell C.M., Impact of community-based diabetes education on program attenders and nonattenders, Diabetes Educ, 992, 1, pp. 29-33

[10]

Glasgow R.E., Toobert D.J., Hampson S.E., Participation in outpatient diabetes education programs: how many patients take part and how representative are they?, Diabetes Educ, 17, 5, pp. 376-380, (1991)

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