Peer support for self-management of diabetes improved outcomes in international settings.

Peer support for self-management of diabetes improved outcomes in international settings.
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DOI:
10.1377/hlthaff.2011.0914
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发表时间:
2012-01
期刊:
Health affairs (Project Hope)
影响因子:
--
通讯作者:
Tanasugarn C
Tanasugarn C
中科院分区:
其他
文献类型:
--
作者:
Fisher EB;Boothroyd RI;Coufal MM;Baumann LC;Mbanya JC;Rotheram-Borus MJ;Sanguanprasit B;Tanasugarn C

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糖尿病的自我管理对于降低相关残疾的风险至关重要。但有效的自我管理往往是短暂的。同伴可以提供持续的糖尿病自我管理所需的持续支持。在这种情况下,同行是非专业人士谁有糖尿病或密切熟悉其管理。有效的同伴支持的关键功能包括日常管理援助,社会和情感支持,与临床护理的联系,以及持续的支持。喀麦隆、南非、泰国和乌干达的项目小组以这四种功能为同伴支持的模板,制定并评价了针对成年糖尿病患者的同伴支持干预措施。我们的初步评估发现,许多参与计划的人在症状管理、饮食、血压、体重指数和血糖水平方面都有改善。对于政策制定者来说,更广泛的信息是,通过强调四个关键的同伴支持功能,糖尿病管理计划可以成功地引入不同的文化背景和不同的卫生系统。
Self-management of diabetes is essential to reducing the risks of associated disabilities. But effective self-management is often short-lived. Peers can provide the kind of ongoing support that is needed for sustained self-management of diabetes. In this context, peers are nonprofessionals who have diabetes or close familiarity with its management. Key functions of effective peer support include assistance in daily management, social and emotional support, linkage to clinical care, and ongoing availability of support. Using these four functions as a template of peer support, project teams in Cameroon, South Africa, Thailand, and Uganda developed and then evaluated peer support interventions for adults with diabetes. Our initial assessment found improvements in symptom management, diet, blood pressure, body mass index, and blood sugar levels for many of those taking part in the programs. For policy makers, the broader message is that by emphasizing the four key peer support functions, diabetes management programs can be successfully introduced across varied cultural settings and within diverse health systems.
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