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[Self-Management Education in Rural Older Adults With Diabetes]
Shoa-Jen Perng1, Lee-Chun Tang2
1PhD, RN, Associate Professor, Graduate Institute of Long-Term Care, Tzu Chi University of Science and Technology, and Deputy Director, Taiwanese Center for Evidence-Based Health Care, Taiwan, ROC. jen@ems.tcust.edu.tw.
Abstract:
Diabetes is one of the most prevalent chronic diseases affecting public health. The Taiwan government implemented the Diabetes Shared Care Program to deliver continuous medical care and provide health education in order to help clients with diabetes learn self-management. However, rural older adults with diabetes often have poor access to medical resources and thus face obstacles to obtaining and using the services of this program. This paper introduces the current status of the Diabetes Shared Care Program, discusses the concept of self-management education and support for diabetes cases, and proposes community-based strategies, including (1) provide DSMES (diabetes self-management education and support) with multi-types of services, (2) increase non-professional personnel training, and (3) provide culture-congruent health education, in order to strengthen the diabetes self-management capabilities of rural older adults.
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