Lifestyle factors, self-management and patient empowerment in diabetes care

European Journal of Preventive Cardiology - Tập 26 Số 2_suppl - Trang 55-63 - 2019
Ekaterini Lambrinou1, Tina B Hansen2,3, Joline W. J. Beulens4,5
1Department of Nursing, Cyprus University of Technology, Cyprus
2Department of Cardiology, Zealand University Hospital, Denmark
3Department of Regional Health Research, University of Southern Denmark, Denmark
4Amsterdam Public Health Research Institute, The Netherlands
5Department of Epidemiology and Biostatistics, Amsterdam UMC, The Netherlands

Tóm tắt

Although management of diabetes mellitus is improving, inadequately managed cases still exist. Prevention of diabetes mellitus requires an integrated and holistic approach based on the origin of the disease. In Europe only half of diagnosed patients with diabetes mellitus have good glycaemic control. Inadequate glycaemic control is significantly increasing the use of healthcare resources, the medical costs and mortality rates. A review was conducted in order to summarise and discuss central themes for prevention. A search of the databases PubMed, CINAHL, Cochrane and Google Scholar between January 2010–May 2019 was undertaken. The following keywords: ‘diabetes mellitus’, ‘cardiovascular diseases’, ‘empowerment’, ‘self-management education’ and ‘lifestyle factors’ were used in different combinations to identify eligible articles. Important variables for the prevention of diabetes mellitus and its complications are self-management of diabetes mellitus and the management of risk factors. Education and support for self-management are fundamental when caring for people with a chronic disease like diabetes mellitus. In order to achieve effective self-management including lifestyle modification it is also crucial to motivate people. In this review, the role of the three main pillars in diabetes care are identified and discussed; patient empowerment, self-management education and lifestyle modification in the management of people with diabetes mellitus.

Từ khóa


Tài liệu tham khảo

10.1038/nrendo.2016.105

10.1038/sj.ejcn.1602755

10.2337/dc18-2634

Cosentino F, 2019, Eur Heart J, 1, ehz48

10.1186/2251-6581-12-14

10.1111/wvn.12159

10.1177/2047487316653709

10.1177/1742395307086673

10.1016/j.pcd.2015.01.006

10.2147/PPA.S106821

10.1007/s00125-014-3460-0

10.1007/s40273-015-0268-9

10.1016/j.ijnss.2018.12.002

10.2337/dc12-1707

10.1046/j.1525-1497.2002.10905.x

10.2147/PPA.S82555

10.1111/j.1369-7625.2006.00359.x

10.1007/s11684-013-0262-6

10.1007/s11892-012-0356-6

10.1111/jan.12178

10.1186/s12902-018-0309-4

10.1007/s00125-018-4607-1

10.1111/jocn.14795

Schmuhl H, 2019, Eur J Biomed Informatics, 10, 12

10.1111/j.1369-7625.2011.00757.x

10.1186/2251-6581-12-6

10.1186/s12902-017-0218-y

10.1016/j.pec.2015.08.021

10.1016/j.pec.2009.07.025

10.1111/dme.13340

World Health Organisation, 1998, Ther Patient Educ, 44, 65

10.1001/jamainternmed.2014.655

10.1016/j.pcd.2016.09.006

10.1016/j.pcd.2017.10.004

10.21037/mhealth.2018.01.02

10.1007/s00125-019-4864-7

10.2196/jmir.5778

10.2196/jmir.4112

10.2337/dc15-1391

10.1353/hpu.2014.0157

10.1177/1460458214537511

Frederix I, 2019, Eur J Prev Cardiol, 11, 1

10.2196/ijmr.4504

10.1177/0162243913504306

10.1186/s40842-018-0055-6

10.1016/S0020-7489(02)00092-5

10.1177/0145721709335006

10.1016/j.jcjd.2019.03.006

10.1016/j.diabet.2016.07.030

10.2337/cd17-0071

10.1016/j.jcte.2016.12.001

10.1111/j.1464-5491.2008.02628.x

10.1097/01.med.0000433056.76699.5d

10.1177/0145721718820941

10.1016/j.pec.2019.02.005

10.1016/j.pec.2015.11.003

10.1016/S0140-6736(11)60442-X

10.1007/s10654-017-0352-x

10.1007/s00125-008-1091-z

10.1007/s00125-005-0127-x

10.7326/M14-1650

Wahid A, 2016, J Am Heart Assoc, 14, e002495, 10.1161/JAHA.115.002495

Perry BD, 2016, Exerc Immunol Rev, 22, 94

10.1001/jama.2010.1710

10.1016/j.dsx.2018.04.008

10.1007/s00125-016-4189-8

10.1589/jpts.28.142

10.2337/dc15-0030

10.2337/dc15-2336

10.1016/j.metabol.2014.10.018

10.7326/0003-4819-159-8-201310150-00007

10.1016/S2213-8587(16)30162-0

10.1371/journal.pone.0122023

10.1056/NEJMoa1803626

10.1002/oby.21582

10.1161/CIRCULATIONAHA.115.017926

10.1007/s11606-019-04832-y

10.2147/DMSO.S174910

10.1001/jamainternmed.2013.1216

10.2147/PPA.S116173

10.1371/journal.pone.0168835

10.1155/2018/4930157

10.1016/j.conctc.2017.03.007

10.1016/j.phrs.2016.09.040

10.1016/j.ejim.2015.11.016

10.1056/NEJMoa1800256

10.1016/j.jacc.2018.04.027