Patients' perspectives on diabetes health care education

Abstract

Living with Type 2 diabetes requires that patients develop a range of competencies that allow them to take greater control over the treatment of their disease. This requires education that promotes health whilst respecting individuals' self-perceived needs and voluntary choices. Whilst such a concept is not new in the field of diabetes, health professionals are still struggling with how to administer it successfully. This paper presents the findings of a research trial of a theoretically constructed educational intervention. It focuses on the patients' perspectives of what they valued about the intervention which was found to be clinically effective over a short-term period only. Limitations to maintaining effects were associated with a number of factors. The study found that whilst patients can be educated toward greater autonomy, not all health professionals are ready to work in partnership with them. It highlighted the importance of clinical staff not only gaining a better understanding of diabetes management, but also of the theoretical principles underlying patient empowerment. This paper outlines these principles and shows how they were synthesized to produce a framework for informing practice. Patients' views are utilized to provide guidelines for improving the outcomes of patient education.

Nurse communication in health education: Patients’ perspective

“…It should be customized continuously to be permanently the key of patient and nurse interactions. [30] Contradicting to this finding, Visser A. in 2001 clarified that health education with a chronic disease receives growing attention; in particular with diabetic patients as this is a well developed area. Therefore, the nature of the disease affects development of patient education.…”

Personal and treatment factors associated with foot self-care among veterans with diabetes

“…The finding that professional foot care and foot-care education are related to patient foot self-care probably reflects the professional's typical integration of the two. Increased professional foot care and education may facilitate not only information provision but also empathy and partnership between professional and patient, which will lead to greater foot-care compliance [43][44][45].…”

rôle du soutien social dans la capacité d'autonomisation des femmes âgées de 55 ans et plus atteintes de multimorbidité /

“…Certains auteurs (Cardone & Gilkerson, 1990;Dunst & Trivette, 1996) . À l'inverse, ne pas tenir compte de • Construire une atmosphère positive, démontrer de l'intérêt et fournir un regard positif et attentif de non-jugement (Cooper et al, 2003;Kettunen et al, 2006;Me William et al, 1997;Paterson, 2001;Pibernik et al, 2004. ) • porter une attention aux priorités et aux inquiétudes du patient, habituellement par le biais d'une écoute active de son expérience de vie, suivi par un dialogue autoréflectif (Chang et al, 2004;Cooper et al, 2003;Gunter et al, 2004;Kettunen et al, 2006;Me William et al, 1997;Paterson, 2001;Pellino et al, 1998;Skelton, 1997) ;…”

“…Cooper et al, 2003;Desbiens et al, 1998;Keers et al, 2004;Pibernik et al, 2004;Van Dam et al, 2003), l'autodétermination de la santé et des buts reliés au traitement à travers la participation et la négociation Cooper et al, 2003;Davison & Degner, 1997;Golant et al, 2003;Gunter et al, 2004;Keers et al, 2006Keers et al, , 2004Kidd et al, 2004;Loft et al, 2003;Maliski et al, 2004;McCann & Weinman, 1996 ;Paterson, 2001;Pellino et al, 1998;Pibernik et al, 2004;Skelton, 1997;Van Dam et al, 2003; et finalement, l'autoefficacité en ce qui concerne la maladie et les comportements reliés au traitement Davison & Degner, 1997;Kidd et al, 2004;McCann & Weinman, 1996;Pellino et al, 1998;Van Dam et al, 2003;Via & Salyer, 1999). De plus, ces indicateurs incluent l'amélioration des connaissances en ce qui a trait à la maladie et au traitement (Golant et al, 2003;Van Dam et al, 2003) et quelques résultats cliniques tels qu'un meilleur contrôle de la glycémie (Keers et al, 2004) ou une meilleure gestion de la douleur (Maliski et al, 2004;Wong etal, 2000) Dans cette même revue de littérature , certains indicateurs anticipés du processus d'autonomisation étaient reliés à des aspects psychosociaux associés au fait de vivre avec une ou plusieurs maladies chroniques ou étaient non spécifiques à une clientèle en particulier.…”