为糖尿病患者开发和接受一个具有文化能力的技能和知识评估工具
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Stephanie Hakimian1, Susan Karam2, Kim Pardilla3
1University of Pittsburgh Medical Center, Pittsburgh, PA, USA.
概括
开发了一种新的糖尿病技能知识评估 (DM-SKA),以评估患者的自我护理技能. 临床医生证实了它的相关性,它表明了对不同患者群体的文化接受度和易于理解.
科学领域:
- 医学教育 医学教育
- 患者自我管理
- 卫生识字 卫生识字
背景情况:
- 新确诊的2型糖尿病患者需要快速获得自我护理技能,尤其是在开始胰岛素治疗时.
- 有效的患者教育需要评估基本的DM知识和管理能力.
- 审查了现有的DM评估,强调了需要一个专注于实际管理技能的工具.
研究的目的:
- 为新诊断的患者开发和验证糖尿病技能知识评估 (DM-SKA).
- 纳入临床医生,患者和护理人员的反,以确保临床相关性和患者可用性.
- 评估评估的文化谦卑和对不同人群的可读性.
主要方法:
- 一个系统的文献搜索确定了24个现有的DM知识评估.
- 之前评估的内容被调整为创建一个12项的DM-SKA.
- 为了验证,对临床医生,患者,护理人员和普通人进行了修改认知访谈和焦点小组.
- 采访和焦点小组被录音,转录,并编码以确定关键主题.
主要成果:
- 临床医生证实,DM-SKA涵盖了关键的DM教育领域,对于医院到家庭的过渡至关重要.
- 发现DM-SKA在包括老年参与者在内的各种种族/种族群体中是可以理解和文化上可以接受的.
- 该评估取得了Flesch阅读易度得分81.3,表明语言的复杂性低.
结论:
- 根据临床医生的同意,DM-SKA是评估糖尿病管理基本技能的有效工具.
- 该评估证明了可接受的识字能力,认知有效性和文化适应性,适用于各种患者群体.
- DM-SKA适用于种族/少数民族患者和老年人.
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