从糖尿病教育到自我管理支持——以促进行为改变为目标.ppt

92.4 million vs 20/week Yang WY et al. N Engl J Med 362:1090-1101 社区健康教育者资源？ 社区健康教育志愿者——糖尿病患者 同伴支持Peer Support 同伴支持的概念 『同伴支持联系着患有慢性疾病的人，分享的是许多医护人员都没有的病患知识及经验。』 “Peer support links people living with chronic disease or condition. Within peer support, people with a common illness share knowledge & experience that others, including many health workers, do not have.” (Peers for Progress) 同伴支持计划 『即使糖尿病患者平均每人每年有多达6个小时跟医生会面，仍有8,760 小时靠自己；这就是同伴支持的用武之地。』 “If the average person with diabetes spends as many as six hours a year in a doctor’s office, that still leaves 8,760 hours “on your own”. That’s where peer support comes in.” Professor Edwin B. Fisher Global Director 8760 Peer Support Peer ----Patient-derived educator Peer support----refers to the practical, social, and emotional support from a person sharing similar experiences with a disease or condition Patient-led Ongoing Low to no cost Number of patients unlimited Who are they? What is the advantage? New education modle Peer leader筛选标准 纳入条件： 2型糖尿病患者 自身血糖控制良好， HbA1c <7.5% 有充裕的时间和帮助其他患者的意愿 具备良好的沟通技巧 有胰岛素注射治疗经历者优先 中国糖尿病同伴支持计划 培训系统 对筛选出的10位互助组长进行为时7天的课程培训 培训课程（五大模块） －－糖尿病基础知识强化 －－糖尿病教育自我管理培训 －－技能及技巧培训 －－互助组长工作职责及团队管理能力 －－视教及学习（互动） 中国糖尿病同伴支持计划 互助组长 同伴支持计划 患者 患者 同伴支持计划在中国开展的前景 同伴支持计划时间表 Peer China Network What Peer leader can do? mediator patient coaching 达盈糖尿病远程管理平台系统概述 2 High-Tech (Internet of Things) Connect peer and hospital 医院端管理软件 3 ADA Guideline for DE DSME is an essential element of diabetes care and national standards for DSME are based on evidence for its benefits. Education helps people with diabetes initiate effective self- management and cope with diabetes when they are first diagnosed. Ongoing DSME and diabetes self-management support (DSMS) also help people with diabetes maintain effective self-management throughout a lifetime of diabetes as they face new challenges and as treatment advances become available. DSME and DSMS are the on