Author: Xu Feng Huang Li Tang Hong
Diabetes management in Taiwan started early, and the effective incentive system has made the overall treatment compliance rate of diabetes patients here very high. In 2018, the comprehensive compliance rate of low-density lipoprotein cholesterol (LDL-C) in blood sugar ( glycated hemoglobin , A1c), blood pressure (BP), and blood lipids has reached 12.4%, while the newest number in mainland China is 5.6%. In other words, the comprehensive A+B+C compliance rate of diabetic patients in Taiwan is more than twice that of in mainland China.
The endocrinology department of major hospitals in mainland China is not lacking in doctors with strong capabilities and strength. Professor Ji Linong of Peking University People's Hospital has also served as the chairman of the International Diabetes Alliance (IDF). The difference is that diabetes is a chronic chronic disease with long-term progressive disease, and its onset and treatment effect are closely related to lifestyle. Therefore, it is very important for patients to learn how to manage themselves through diabetes management support outside diagnosis and treatment. Under the health insurance system that encourages the improvement of comprehensive diabetes compliance standards, health teachers have become an important role in diabetes management and a specialized profession. Only a few private diabetes hospitals in mainland China have such a position configuration.
Many health teachers in Taiwan have done a great job in this field, not only helping patients, but also being extremely satisfied and proud of their work, and they feel very accomplished. Recently, a health teacher at a diabetic health promotion institution affiliated to the Chinese Medical University in Taiwan was invited to the mainland for a week-long teaching and exchange. Let’s take a look at the difference between working health teachers who work in diabetes education and diabetes educators who work in mainland China and diabetes management, and why they can manage more patients well.
Ye Guimei Nursing
- National Taichung Education University Psychological and Counseling Institute Master's degree
- Taiwan Chinese Medical University Affiliated Hospital Diabetes Health Promotion Institution Health Teacher
- Taichung Diabetes Joint Care Network Society Director
- Social Legal Person Taiwan Diabetes Health Teaching Association Teaching Evaluation, Oral Examination and Written Examination Member and Executive Director
- Gift Nursing Model Award Personal Achievement Award
Professional More Strong
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Ye Guimei first emphasizes that we are not only facing diabetes, but a person. We want to try to help this person solve various health problems she faces, rather than just pursuing the compliance of a certain indicator.
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Ye Guimei believes that if teachers of Wei want to help patients, they must first understand the needs of patients. Blindly indoctrinating like a big classroom will not work. Good communication can help us understand the patient's situation more and help patients solve problems. If you want to communicate effectively, the most important thing is to arouse the patient's "interest". If the patient is not interested, it will be useless to say more.
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When educating patients, teachers of health will look at the aspects of the patient doing well and do not enlarge the aspects of the patient doing poorly. Amplifying the highlights can give the patient more confidence in implementing her/his future action plan.
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During the rounds, Ye Guimei quickly discovered that a type 1 diabetic patient has slow digestion and absorption due to gastroparesis, and often his blood sugar is still high after 2 hours of meal. After analysis, Teacher Ye suggested reporting to the doctor to see if insulin can be adjusted to injection after meals. She then taught the patients what foods contain sugar, etc., and referred a nutritionist to teach the patients how to convert sugar coefficients.
More Jingye
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When having lunch, Ye Guimei raced against time to discuss difficulties or problems that could not be solved with the staff, but she would not give the answer directly, but asked everyone to take turns to share how to solve the same problem.
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Continuously study communication skills. Teacher Ye taught many tips, one of which is about communication: two people have a conversation in a group, one person asks questions, and the other person answers, but the person who answers must first repeat the question of the person. If you are not focused, you will forget to repeat the other person's words, so we must focus on listening when communicating.
More Love
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When encountering a patient with poor compliance, Teacher Wei will wait patiently and listen, and discuss with him what he can do.
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Ye Guimei believes that the improvement of the disease is not limited to the changes in indicators, but the development of behavioral habits in the patient throughout his life. With 8760 hours in one year, the patient can get help in just 10 hours, and the remaining 8750 hours of management depends more on himself. If you can ensure effective communication with the patient for 5 minutes, it will definitely accumulate and help his behavior change, then the health education is valuable.
Of course, this is just the feeling given to us by a health teacher in Taiwan in just a few days. Teacher Ye Guimei was very popular with patients during her work, which is closely related to her ability to discover and solve problems that patients and even herself do not know. This is also the reason why Teacher Wei can become an important role in diabetes management. If diabetes educators in mainland China have a full-time identity, they will study more about how to communicate with patients and how to help patients during the long course of diabetes. In the process of helping patients, diabetes educators need to master what skills they need to master. I believe that the overall diabetes prevention and treatment situation in mainland China will definitely improve.
Add a position to help patients who love to support diabetes management. The cost of staff must be less than the medical expenses required for the progress of many patients she can manage. It also reduces indirect medical expenses such as losing work, reduces patient pain, improves the quality of life of the diabetic patient group, and improves the quality of life of the diabetic patient family. is a matter that is not a loss, but why has there been no movement from medical institutions to the media for many years?
