摘要
目的开发适合我国胰岛素治疗2型糖尿病患者的结构化治疗与教育课程。方法依据现有的结构化课程开发标准,通过回顾文献对目标人群需求进行分析,以授权理论为指导,运用教育学原理,开发针对我国胰岛素治疗2型糖尿病患者的结构化课程初稿,制定教学材料,采用专家会议法修订和完善课程。结果课程目标共29项,包括认知、动作技能和情感3个领域;课程内容包括2项治疗内容及与目标相匹配的10项教育内容;教学以小组为单位,1次/周,共4次,由经培训的医护人员共同实施;课程评价包括过程性评价和终结性评价,过程性评价贯穿教学始终,及时发现患者问题并给予反馈,终结性评价指标为与目标相匹配的知识、行为、自我效能和实验室指标。结论该课程以授权理论为指导,并以指南和文献为循证证据,符合国际糖尿病结构化课程开发标准。课程内容简洁、明确,实施过程标准化,值得在临床进行验证推广。
Objective To develop a structured treatment and education program(STEP)for insulin-treated type 2 diabetic patients in China.Methods By reviewing literature,we analyzed the needs of insulin-treated type 2 diabetic patients.Based upon the standards of structured curriculum development and empowerment theory as well as the pedagogic principles,the structured curricula and teaching materials were developed,and further revised and improved by experts.Results The curricula set 29 learning objectives covering 3 domains,namely,the cognitive,psychomotor and affective domain.The curriculum contents include 2 therapeutic items and 10 educational items.Delivered by professional doctors and nurses once a week,the curricula comprise a 4-week group session.The outcome evaluations include formative assessment and summative assessment.Formative assessment is conducted throughout the whole teaching process in order to timely identify the problems of the patients and give solutions and summative assessment indicators include diabetic knowledge,behavior,self-efficacy and laboratory indices.Conclusion With the guiding of empowerment theory,guidelines and literature review,the SETP developed for insulin-treated Chinese type 2 diabetic patients meets the global standards.With concise contents and standardized teaching process,this STEP has the potential to empower more type 2 diabetic patients to adopt intensive insulin treatment and deserves further clinical application.
作者
刘珂珂
李明子
江华
刘叶灵
罗樱樱
孙晓红
沈晶晶
纪立农
LIU Ke-ke;LI Ming-zi;JIANG Hua;LIU Ye-ling;LUO Ying-ying;SUN Xiao-hong;SHEN Jing-jing;JI Li-nong(Peking University School of Nursing,Beijing 100191,China;Department of Endocrinology,Peking University People's Hospital,Beijing 100191,China)
出处
《中国全科医学》
CAS
北大核心
2018年第8期896-901,共6页
Chinese General Practice
关键词
糖尿病
2型
胰岛素
结构化课程
患者教育
Diabetes mellitus,type 2
Insulin
Structured curriculum
Patient education
