儿童糖尿病治疗教育

M. Cristina Anguita, Ana Gómez, Marina Llobet, Carmen Yoldi
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引用次数: 2

摘要

1型糖尿病的治疗建立在三个主要支柱上:皮下胰岛素治疗、健康均衡的饮食(确保控制碳水化合物的摄入)和锻炼身体活动。考虑到它是一种慢性病理,通过糖尿病治疗性教育(TED)建立治疗基础是必要的。处理糖尿病是复杂的,需要充分的信息和培训。TED是一个过程,通过这个过程,患者和家属可以获得知识、技能和正确的态度,以妥善控制他们的糖尿病。教育的目标根据男孩/女孩的年龄和家庭对该疾病的接受程度来确定。必须拟订一项教育方案,该方案必须考虑到多个方面,并需要有条理的规划,以防止学习过程变得复杂。此外,拥有适当的教育材料大大有助于帮助他/她适应日常的家庭生活。根据患者及其家庭的学习能力,逐步传达这些个性化的方面是至关重要的。传递过多的教学内容可能会阻碍最相关概念的学习。因此,我们可以说,患者不需要了解他们的疾病,而只需要了解对他们的自我保健有用的东西,总之,实现适当的代谢控制。
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Educación terapéutica sobre diabetes en la infancia

Treatment of diabetes mellitus type 1 is built on three main pillars: treatment with subcutaneous insulin, a healthy and balanced diet ensuring control of the intake of carbohydrates and practicing a physical activity. Considering its condition as a chronic pathology, it is essential to build the bases of treatment through therapeutic education in diabetes (TED).

Handling diabetes is complex and requires full information and training. TED is a process through which the patient and the family acquire knowledge, skills and proper attitudes for managing to properly control their diabetes. The aims of the education are defined depending on the age of the boy/girl and on the family's degree of acceptance of the disease.

An educational programme has to be drawn up which must contemplate multiple aspects and which requires a structured planning in order to prevent the learning process from being complex. Furthermore, having the appropriate educational material significantly contributes to helping his/her new situation to adapt to everyday family life. It is essential to progressively convey these aspects which are personalized according to the patient and his/her family's learning capacity. Transmitting an excess of teaching contents could hinder the learning of the most relevant concepts. Therefore, we could say that it is not necessary for the patients to know everything about their disease, but only that which is useful for their self-care, all in all, to achieve a proper metabolic control.

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