Therapeutic education of patients with Type 2 diabetes mellitus and high cardiovascular risk
Abstract
The real-world, out-patient potential of therapeutic education (ТЕ) among individuals with Type 2 diabetes mellitus (DM-2) and arterial hypertension (AH) was investigated. Provided physicians were interested and motivated to participate, the effectiveness of this ТЕ program was no less than that for DM and AH Schools. The method could be recommended as an addition to multidisciplinary, integrated management of such patients, or as an alternative, if no Schools are available.
About the Authors
E. A. Palferova
Бутурлиновская ЦРБ Воронежской области
Russian Federation
Russian Federation
V. A. Orlov
кафедра клинической фармакологии и терапии РМАПО Росздрава
Russian Federation
Russian Federation
References
1. И.И. Дедов, М.И. Балаболкин, Е.М. Клебанов и др. Сахарный диабет: патогенез, классификация, диагностика и лечение: Пособие для врачей. М., 2003: 79-80; 83; 106-109.
2. Executive Summary of the Third Report of the National Cholesterol Education Program (NCEP) Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel III)//JAMA 2001; 2486-2497.
3. American Diabetes Association. Position statement -management of dyslipidemia in adults with diabetes//Diabetes Care. 2002; 25: S74-S77.
4. ВНОК. Профилактика, диагностика и лечение артериальной гипертензии. Российские рекомендации (второй пересмотр). М., 2004: 5; 10-18.
5. А.Т. Шубина, Ю.А. Карпов. Возможности предотвращения сердечно-сосудистых осложнений у больных сахарным диабетом 2 типа//РМЖ. 2003. Т. 11, № 19 (191). С. 1097-1110.
6. Kappagoda С.Т. Туре 2 Diabetes and Preventive Cardiology: Talking the Talk and Walking the Walk//Prev. Cardiol. 2003; 6 (1): 5 -7.
7. CDC. Levels of diabetes-related preventive-care practices -US, 1997-1999//MMWR 2000; 49: 954 -8.
8. CDC. Preventive-care practices Among Persons Wth Diabetes -US, 1995-2001.//MMWR 2002; 51 (43): 965-969.
9. Rolca D.B., Fagot-Campagna A., Vencat Narayan K.M. Aspirin use among adults with diabetes. Estimates from the third national health and nutrition examinations survey//Diabetes Care 2001; 24: 197 -201.
10. Chaiyakunapruk N., Boudreau D., Ramsey S.D. Pharmaco-economic impact of HMG-CoA reductase inhibitors in type 2 diabetes//J Cardiovasc Risk 2001; 8 (3): 127-132.
11. Birtwistle R.V., Gpdwin M.S., Delva M.D., et al. Randomized equivalence trial comparing three month and six month follow up of patients with hypertension by family practitioners//BMJ, doi: 10. 1136/bmj3767374063. EE (January 2004).
12. Kjellgren K.I., Svensson S., Ahlner J. et al. Hypertensive patients knowledge of high blood pressure//Scand J Prim Health Care 1997 Dec; 15(4): 188-92.
13. Gruesser M., Hartman P., Schottmann N. et al. Structured patient education for outpatients with hypertension in general practice: a model project in Germani//J Hum Hypertens 1997 Aug; 11 (8): 501-6.
14. Пархоменко А., Пархоменко И. Значение психотерапевтических элементов в программах обучения самоконтролю пациентов с сахарным диабетом//Диабетография 1998; 11: 17-19.
15. Терапевтическое обучение больных. Отчет рабочей группы ВОЗ. М., 2001. 1-96.
16. Конрада А.О., Полуничева Е.В. Недостаточная приверженность к лечению артериальной гипертензии: причины и пути коррекции//Артериальная гипертензия. 2004. Т. 10, № 3.
Review
For citations:
Palferova E.A., Orlov V.A. Therapeutic education of patients with Type 2 diabetes mellitus and high cardiovascular risk. Russian Journal of Cardiology. 2007;(6):72-75. (In Russ.)
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