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在加拿大无家可归的经验的人群群对个人糖尿病教育
Breanna McSweeney1, Rachel B Campbell1, Eshleen K Grewal1
1Department of Medicine, Cumming School of Medicine, University of Calgary, Calgary, Alberta.
对于无家可归的人来说,糖尿病自我管理教育 (DSME) 需要量身定制的方法. 单独的治疗和减少危害的策略是成功治疗糖尿病患者的关键.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 糖尿病管理 糖尿病管理
背景情况:
- 经历过无家可归的人 (PWLEH) 在管理糖尿病等慢性疾病方面面临着独特的挑战.
- 现有的糖尿病自我管理教育 (DSME) 计划可能无法充分满足PWLEH的需求.
研究的目的:
- 探索加拿大的PWLEH有效的DSME形式.
- 为了确定这个群体的DSME交付中的变化和必要的调整.
主要方法:
- 使用开放式采访进行的定性描述性研究.
- 采访了加拿大5个城市的96名健康和社会护理提供者.
- 使用NVivo软件对采访数据进行主题分析.
主要成果:
- 减少危害的方法至关重要,考虑到诸如食物获取,药物,用品和并发症 (心理健康,物质使用) 等因素.
- 主流集团的DSME课程往往不适合PWLEH.
- 团体教育可以促进社区和支持关系.
- 信任和保密是至关重要的,在个别的DSME环境中更容易实现.
结论:
- 在糖尿病管理中,PWLEH遇到明显的障碍.
- 适应的DSME,包括降低危害和定制内容,是成功的关键.
- 无论是个人还是基于集团的DSME格式,当适当调整时,都可以有效.
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