The emerging role of electronic diaries in the management of diabetes mellitus.

The emerging role of electronic diaries in the management of diabetes mellitus.
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电子日记在糖尿病管理中的新兴作用。

DOI:
10.1097/00044067-200308000-00012
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发表时间:
2003
期刊:
AACN clinical issues
影响因子:
--
通讯作者:
C. Lasome
C. Lasome
中科院分区:
--
文献类型:
--
作者:
Nicole L. Kerkenbush;C. Lasome

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据估计,美国有1700万人患有糖尿病。这一人群治疗的基石是适当的血糖控制,这与更好的患者预后和由于缺乏需要治疗的糖尿病并发症而节省的成本有关。患者日记是患者和护理人员监测和确保该人群血糖控制的主要手段,也是有效糖尿病管理的关键组成部分。鼓励糖尿病患者以系统的方式持续跟踪血糖水平、饮食摄入量、活动水平和胰岛素剂量,以指导适当的护理决策。传统上,此类患者经验数据的记录发生在纸质日记中。最近,随着个人数字助理(PDA)技术的出现,电子日记显示出比纸质日记更有前途的好处。为了利用这项技术,患者必须能够准确地使用PDA设备,提供者必须了解它们的功能。一般来说,高级执业护士(apn)和门诊执业护士在评估PDA技术对个体患者的适宜性、教育患者各种软件应用以及确保数据的记录和趋势方面发挥着关键作用。本文概述了传统的糖尿病管理记录保存技术,然后回顾了旨在改善糖尿病患者记录状态的当前PDA技术和资源。
Diabetes mellitus affects an estimated 17 million people in America. A cornerstone to the treatment of this population is appropriate glycemic control, which has been associated with better patient outcomes and cost savings from lack of diabetes complications needing treatment. The patient diary serves as the primary means used by patients and care providers to monitor and ensure glycemic control among this population and as a key component to effective diabetes management. Diabetic patients are encouraged to track continually, in a systematic way, blood glucose levels, dietary intake, activity level, and insulin dose if applicable for use in guiding appropriate care decisions. Traditionally, the recording of such patient experience data has occurred in paper-based diaries. More recently, with the advent of personal digital assistant (PDA) technology, electronic diaries are demonstrating promising benefits over paper-based diaries. To take advantage of this technology, patients must be able to use PDA devices accurately and providers must be knowledgeable about their capabilities. Advanced practice nurses (APNs) in general, and nurse practitioners in the outpatient setting more specifically play a key role in assessing the appropriateness of PDA technology for individual patients, educating patients in various software applications, and ensuring the documentation and trending of data. This article provides an overview of traditional diabetes management record-keeping techniques followed by a review of current PDA technologies and resources that aim to improve the state of diabetic documentation by patients.
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DOI: 10.1037//0278-6133.17.1.17
发表时间: 1998
期刊: Health psychology : official journal of the Division of Health Psychology, American Psychological Association
影响因子: --
作者:
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DOI: --
发表时间: 2001
期刊: Health psychology : official journal of the Division of Health Psychology, American Psychological Association
影响因子: --
作者:
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通讯作者: Delfino,RJ