护理糖尿病的四大要点CORNERSTONES OF DIABETES CARE 健康.PPT

Health Equity: Diabetes Care, Hypertension Control and Cancer Screening in the San Francisco Kaiser Permanente Chinese Clinic Population Anne Tang M.D., FACP Chief, Bilingual Chinese Module Chief, Pharmacy Therapeutics Kaiser Permanente San Francisco Medical Center Assessment of Health Care Needs of KPSF Chinese Population Patient Survey Results Bilingual Chinese physicians and staff Health Education Materials in Chinese Interpreters Convenience Affordable The KPSF Bilingual Chinese Module (BCM) 15 Board Certified Primary Care Physicians 1 RN Diabetic Health Educator (DHE) 1 Complex Chronic Condition RN Case manager 1 Behavioral Medicine Specialist (BMS) 1 Clinical Health Educator (CHE) 1 Physical Therapist (PT) 15 Medical Assistants 1 Charge/Triage RN, ? Unit Manager All physicians, staff, and allied professionals are bilingual The Module takes care of 20,000 Chinese patients Mission: To provide affordable, integrated, culturally appropriate high quality care to our Chinese members The KPSF Bilingual Chinese Module Chinese Module Diabetes Care 2010,2011,2012 Diabetes Comprehensive Diabetes Care HgbA1c Screening HgbA1c 9% LDL C100 mg/dl Blood Pressure 140/90 KPSF Chinese Module 95,95,96 88,87,87 74,74,77 82,85,86 KP NCAL 92,94,95 80,84,84 66,68,72 75,82,84 KPSF 89,93,94 72,80,82 47,65,71 77,79,82 page * 豆奶 加 鈣 乳酪 Butter 糖尿病食物金字塔 CHINESE FOOD PYRAMID FOR DIABETIC PATIENTS 脂肪，糖，酒，鹽及醬油 (盡量少用) 奶類 (每日二至三份) 一份=(等於) 1 杯奶 1 杯脫脂及低糖的酸乳酪 1 杯加鈣豆奶(無附加糖) 肉類 (每日二至三份) 一份=(等於) 2-3 安士瘦肉、家禽、或魚 (一副紙牌的尺寸) ? 1 湯匙花生醬 ? 4 安士(1/2 碗)豆腐 ? 1 隻蛋 水果 (每日二至四份) 一份=(等於) 1 個小的水果 (如網球的大小) ? 個大水果 ? 杯果汁 ? 碗乾果 1/3 碗飯、 麵、米粉、粉絲 ? 碗熟豆、豌豆或粟米 ? 碗粥 、熟麥片 1 片方麵包 1 個小饅頭 4 片雲吞皮 1/3 碗芋頭 4-6 小塊無鹽梳打餅乾 1碗=8安士 1杯=8安士 ?相等於一安士的肉 蔬菜 (每日三至五份) 一份=(等於) ? 碗煮熟蔬菜 1 碗生蔬菜 穀物、豆類及含澱粉質較高的蔬菜 (每日六至十一份) 一份=(等於) page * 糖尿病的併發症 Diabetes Complications 腎衰竭 Kidneys(nephropathy) 眼睛(視網膜病) Eyes(Retinopathy) 神經系統(足部問題)