National guidelines for psychological care in diabetes: how mindful have we been?
National guidelines for psychological care in diabetes: how mindful have we been?
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DOI：
10.1111/j.1464-5491.2009.02701.x
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发表时间：
2009-04-01
影响因子：
3.5
通讯作者：
Ismail, K.
中科院分区：
文献类型：
--
作者：
Nicholson, T. R. J.;Taylor, J. -P.;Ismail, K.
为了评估英国为糖尿病患者提供心理服务的可用性和类型，评估糖尿病团队在糖尿病管理心理方面遵守国家指南和技能的情况，以及对糖尿病管理心理方面的态度。向英国所有糖尿病中心(n=464)的团队负责人(医生和护士)邮寄问卷，然后对团队负责人确定的心理服务专家进行半结构化电话访谈。267个中心(58%)回复了邮寄问卷；66个(25%)确定了指定的心理服务专家提供商，其中53人(80%)接受了电话采访。不到三分之一(n=84)的受访中心获得了专业的心理服务，并且在四个英国国家的可得性有所不同(P=0.02)。超过三分之二(n=182)的中心没有执行大多数国家准则，只有2.6%的中心符合所有准则。对团队的心理投入与团队成员在心理问题方面的培训的改善有关(P<；0.001)，对管理更复杂的心理问题的更好技能的感知(P<；0.001)。
To assess the availability and types of psychological services for people with diabetes in the UK, compliance with national guidelines and skills of the diabetes team in, and attitudes towards, psychological aspects of diabetes management.Postal questionnaires to team leads (doctor and nurse) of all UK diabetes centres (n = 464) followed by semi-structured telephone interviews of expert providers of psychological services identified by team leads.Two hundred and sixty-seven centres (58%) returned postal questionnaires; 66 (25%) identified a named expert provider of psychological services, of whom 53 (80%) were interviewed by telephone. Less than one-third (n = 84) of responding centres had access to specialist psychological services and availability varied across the four UK nations (P = 0.02). Over two-thirds (n = 182) of centres had not implemented the majority of national guidelines and only 2.6% met all guidelines. Psychological input into teams was associated with improved training in psychological issues for team members (P < 0.001), perception of better skills in managing more complex psychological issues (P