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История обучения пациентов с хроническими терапевтическими заболеваниями (на примере сахарного диабета): от идеи до полноправного направления современной медицины
© ООО «КОНСИЛИУМ МЕДИКУМ», 2025 г.
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Surkova EV, Glinkina IV, Gurova OYu, Mamleeva DV, Galstyan GR. History of patient education for chronic diseases (with diabetes mellitus as an example): from an idea to the branch of modern medicine. Terapevticheskii Arkhiv (Ter. Arkh.). 2025;97(1):86–93. DOI: 10.26442/00403660.2025.01.203139
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Ключевые слова: терапевтическое обучение пациентов, сахарный диабет, образовательные программы, дистанционные образовательные технологии
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The article describes the history of the formation of therapeutic education as one of the most essential components of the treatment of chronic diseases, in particular diabetes. The varieties and methods of programs for patients existing in the Russian Federation are considered in detail.
Keywords: therapeutic patient education, diabetes mellitus, educational programs, distant learning technology
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3. Liao Y, Gao G, Peng Y. The effect of goal setting in asthma self-management education: A systematic review. Int J Nurs Sci. 2019;6(3):334-42. DOI:10.1016/j.ijnss.2019.04.003
4. Dodd KE, Mazurek JM. Asthma self-management education in persons with work-related asthma – United States, 2012–2014. J Asthma. 2020;57(6):593-600. DOI:10.1080/02770903.2019.1594890
5. Андреев А.Н., Изможерова Н.В., Колотова Г.Б., и др. «Школа здоровья» для пациентов с артериальной гипертонией: итоги работы в условиях районной поликлиники. Кардиоваскулярная терапия и профилактика. 2006;5(3):15-21. Режим доступа: https://cardiovascular.elpub.ru/jour/article/view/1177/844. Ссылка активна на 25.12.2023 [Andreev AN, Izmozherova NV, Kolotova GB, et al. «Health school» for arterial hypertension patients: district out-patient clinic experience. Cardiovascular Therapy and Prevention. 2006;5(3):15-21. Available at: https://cardiovascular.elpub.ru/jour/article/view/1177/844. Accessed: 25.12.2023 (in Russian)].
6. Whelton PK, Carey RM, Aronow WS, et al. 2017 ACC/AHA/AAPA/ABC/ACPM/AGS/APhA/ASH/ASPC/NMA/PCNA Guideline for the Prevention, Detection, Evaluation, and Management of High Blood Pressure in Adults: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines. Hypertension. 2018;71(6):e13-e115. DOI:10.1161/HYP.0000000000000065
7. Joslin EP. The routine treatment of diabetes with insulin. JAMA. 1923;80:1581-3. DOI:10.1001/jama.1923.02640490001001
8. Joslin EP. The treatment of diabetes mellitus. Philadelphia, USA: Lea and Febiger, 1928.
9. Buse JB, Davies MJ, Frier BM, Philis-Tsimikas A. 100 years on: the impact of the discovery of insulin on clinical outcomes. BMJ Open Diabetes Res Care. 2021;9(1):e002373. DOI:10.1136/bmjdrc-2021-002373
10. Галстян Г.Р., Старостина Е.Г., Дедов И.И. Обучение больных как интегральная часть лечения сахарного диабета 1 типа: история развития, принципы, оценка эффективности. Проблемы эндокринологии. 1994;40(2):53-7 [Galstyan GR, Starostina EG, Dedov II. Training of patients: An integral component in the treatment of type 1 diabetes mellitus. History of development, principles, assessment of the efficacy. Problems of Endocrinology. 1994;40(2):53-7 (in Russian)]. DOI:10.14341/probl11806
11. Дедов И.И., Суркова Е.В., Майоров А.Ю., и др. Терапевтическое обучение больных сахарным диабетом. М.: Издательство Реафарм, 2004; c. 200 [Dedov II, Surkova EV, Maiorov AYu, et al. Terapevticheskoe obuchenie bolnykh sakharnym diabetom. Moscow: Izdatelstvo Reafarm, 2004; p. 200 (in Russian)].
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13. Miller LV, Goldstein J. More efficient care of diabetic patients in a county-hospital setting. N Engl J Med. 1972;286(26):1388-91. DOI:10.1056/NEJM197206292862605
14. Lacroix A, Assal JPh. Therapeutic education of patients. New approaches to chronic illness. 2-nd ed. Maloine, 2003; p. 240.
15. Assal JPh, Golay A. New trends in patient education: a trans-cultural and inter-disease approach. Elsevier, 1995; p. 382.
16. Starostina EG, Antsiferov MB. Diabetes education in the USSR: how to begin? Diabet Med. 1990;7(8):744-9. DOI:10.1111/j.1464-5491.1990.tb01480.x
17. Starostina EG, Antsiferov M, Galstyan GR, et al. Effectiveness and cost-benefit analysis of intensive treatment and teaching programmes for type 1 (insulin-dependent) diabetes mellitus in Moscow – blood glucose versus urine glucose self-monitoring. Diabetologia. 1994;37(2):170-6. DOI:10.1007/s001250050089
18. Старостина Е.Г., Анциферов М.Б., Галстян Г.Р., Дедов И.И. Эффективность программы интенсивного лечения и обучения больных сахарным диабетом 1 типа. Проблемы эндокринологии. 1994;40(3):15-9 [Starostina EG, Antsiferov MB, Galstyan GR, Dedov II. Efficacy of program for treatment and training of patients with type 1 diabetes. Problems of Endocrinology. 1994;40(3):15-9 (in Russian)]. DOI:10.14341/probl12004
19. Галстян Г.Р., Майоров А.Ю., Двойниишикова О.М., и др. Отдаленные результаты терапевтического обучения больных сахарным диабетом типа 1. Проблемы эндокринологии. 2005;51(3):50-5 [Galstyan GR, Maiorov AYu, Dvoinishnikova ОМ, et al. Long-term results of therapeutic education of patients with type 1 diabetes mellitus. Problems of Endocrinology. 2005;51(3):50-5 (in Russian)]. DOI:10.14341/probl200551350-55
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21. Diabetes Control and Complications Trial Research Group; Nathan DM, Genuth S, et al. The effect of intensive treatment of diabetes on the development and progression of long-term complications in insulin-dependent diabetes mellitus. N Engl J Med. 1993;329(14):977-86. DOI:10.1056/NEJM199309303291401
22. Intensive blood-glucose control with sulphonylureas or insulin compared with conventional treatment and risk of complications in patients with type 2 diabetes (UKPDS 33). UK Prospective Diabetes Study (UKPDS) Group. Lancet. 1998;352(9131):837-53. DOI:10.1016/S0140-6736(98)07019-6
23. Effect of intensive blood-glucose control with metformin on complications in overweight patients with type 2 diabetes (UKPDS 34). UK Prospective Diabetes Study (UKPDS) Group. Lancet. 1998;352(9131):854-65. DOI:10.1016/S0140-6736(98)07037-8
24. Therapeutic patient education. Continuing educational programmes for health care providers in the field of prevention of chronic diseases. Report of a WHO working group. World Health Organization. 1998. Available at: https://iris.who.int/bitstream/handle/10665/108151/9789289012980-eng.pdf?sequence=1&isAllowed=y. Accessed: 25.12.2023.
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42. Ибрагимова Л.И., Филиппов Ю.И., Майоров А.Ю. Эффективность обучения и качество жизни у больных сахарным диабетом 1 типа на помповой инсулинотерапии. Сахарный диабет. 2012;(1):35-40 [Ibragimova LI, Filippov YuI, Mayorov AYu. Insulin pump therapy in type 1 diabetes mellitus: education effectiveness and quality of life. Diabetes Mellitus. 2012;15(1):35-40 (in Russian)]. DOI:10.14341/2072-0351-5977
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________________________________________________
1. Global Initiative for Asthma. Global Strategy for Asthma Management and Prevention. 2023, р. 98-105. Available at: https://ginasthma.org/wp-content/uploads/2023/05/GINA-2023-Full-Report-2023-WMS.pdf. Accessed: 25.12.2023.
2. Kalinina AM, Oganov RG, Nebieridze DV. Patients’ education as a factor for arterial hypertension effective control – NOCTURNE Program. Cardiovascular Therapy and Prevention. 2006;5(3):5-14. Available at: https://cardiovascular.elpub.ru/jour/article/view/1172. Accessed: 25.12.2023 (in Russian).
3. Liao Y, Gao G, Peng Y. The effect of goal setting in asthma self-management education: A systematic review. Int J Nurs Sci. 2019;6(3):334-42. DOI:10.1016/j.ijnss.2019.04.003
4. Dodd KE, Mazurek JM. Asthma self-management education in persons with work-related asthma – United States, 2012–2014. J Asthma. 2020;57(6):593-600. DOI:10.1080/02770903.2019.1594890
5. Andreev AN, Izmozherova NV, Kolotova GB, et al. «Health school» for arterial hypertension patients: district out-patient clinic experience. Cardiovascular Therapy and Prevention. 2006;5(3):15-21. Available at: https://cardiovascular.elpub.ru/jour/article/view/1177/844. Accessed: 25.12.2023 (in Russian).
6. Whelton PK, Carey RM, Aronow WS, et al. 2017 ACC/AHA/AAPA/ABC/ACPM/AGS/APhA/ASH/ASPC/NMA/PCNA Guideline for the Prevention, Detection, Evaluation, and Management of High Blood Pressure in Adults: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines. Hypertension. 2018;71(6):e13-e115. DOI:10.1161/HYP.0000000000000065
7. Joslin EP. The routine treatment of diabetes with insulin. JAMA. 1923;80:1581-3. DOI:10.1001/jama.1923.02640490001001
8. Joslin EP. The treatment of diabetes mellitus. Philadelphia, USA: Lea and Febiger, 1928.
9. Buse JB, Davies MJ, Frier BM, Philis-Tsimikas A. 100 years on: the impact of the discovery of insulin on clinical outcomes. BMJ Open Diabetes Res Care. 2021;9(1):e002373. DOI:10.1136/bmjdrc-2021-002373
10. Galstyan GR, Starostina EG, Dedov II. Training of patients: An integral component in the treatment of type 1 diabetes mellitus. History of development, principles, assessment of the efficacy. Problems of Endocrinology. 1994;40(2):53-7 (in Russian). DOI:10.14341/probl11806
11. Dedov II, Surkova EV, Maiorov AYu, et al. Terapevticheskoe obuchenie bolnykh sakharnym diabetom. Moscow: Izdatelstvo Reafarm, 2004; p. 200 (in Russian).
12. Ingelfinger FJ. Debates on diabetes. N Engl J Med. 1977;296(21):1228-30. DOI:10.1056/NEJM197705262962111
13. Miller LV, Goldstein J. More efficient care of diabetic patients in a county-hospital setting. N Engl J Med. 1972;286(26):1388-91. DOI:10.1056/NEJM197206292862605
14. Lacroix A, Assal JPh. Therapeutic education of patients. New approaches to chronic illness. 2-nd ed. Maloine, 2003; p. 240.
15. Assal JPh, Golay A. New trends in patient education: a trans-cultural and inter-disease approach. Elsevier, 1995; p. 382.
16. Starostina EG, Antsiferov MB. Diabetes education in the USSR: how to begin? Diabet Med. 1990;7(8):744-9. DOI:10.1111/j.1464-5491.1990.tb01480.x
17. Starostina EG, Antsiferov M, Galstyan GR, et al. Effectiveness and cost-benefit analysis of intensive treatment and teaching programmes for type 1 (insulin-dependent) diabetes mellitus in Moscow – blood glucose versus urine glucose self-monitoring. Diabetologia. 1994;37(2):170-6. DOI:10.1007/s001250050089
18. Starostina EG, Antsiferov MB, Galstyan GR, Dedov II. Efficacy of program for treatment and training of patients with type 1 diabetes. Problems of Endocrinology. 1994;40(3):15-9 (in Russian). DOI:10.14341/probl12004
19. Galstyan GR, Maiorov AYu, Dvoinishnikova ОМ, et al. Long-term results of therapeutic education of patients with type 1 diabetes mellitus. Problems of Endocrinology. 2005;51(3):50-5 (in Russian). DOI:10.14341/probl200551350-55
20. Surkova EV, Antsiferov MB. Role of training programs in the treatment of patients with type II diabetes mellitus. Problems of Endocrinology. 1995;41(6):4-6 (in Russian). DOI:10.14341/probl11483
21. Diabetes Control and Complications Trial Research Group; Nathan DM, Genuth S, et al. The effect of intensive treatment of diabetes on the development and progression of long-term complications in insulin-dependent diabetes mellitus. N Engl J Med. 1993;329(14):977-86. DOI:10.1056/NEJM199309303291401
22. Intensive blood-glucose control with sulphonylureas or insulin compared with conventional treatment and risk of complications in patients with type 2 diabetes (UKPDS 33). UK Prospective Diabetes Study (UKPDS) Group. Lancet. 1998;352(9131):837-53. DOI:10.1016/S0140-6736(98)07019-6
23. Effect of intensive blood-glucose control with metformin on complications in overweight patients with type 2 diabetes (UKPDS 34). UK Prospective Diabetes Study (UKPDS) Group. Lancet. 1998;352(9131):854-65. DOI:10.1016/S0140-6736(98)07037-8
24. Therapeutic patient education. Continuing educational programmes for health care providers in the field of prevention of chronic diseases. Report of a WHO working group. World Health Organization. 1998. Available at: https://iris.who.int/bitstream/handle/10665/108151/9789289012980-eng.pdf?sequence=1&isAllowed=y. Accessed: 25.12.2023.
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1ФГАОУ ВО «Первый Московский государственный медицинский университет им. И.М. Сеченова» Минздрава России (Сеченовский Университет), Москва, Россия;
2ФГБУ «Национальный медицинский исследовательский центр эндокринологии» Минздрава России, Москва, Россия
*irina_glinkina@rambler.ru
________________________________________________
Elena V. Surkova1, Irina V. Glinkina*1, Olesya Yu. Gurova1, Diana V. Mamleeva1, Gagik R. Galstyan2
1Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russia;
2National Medical Research Center for Endocrinology, Moscow, Russia
*irina_glinkina@rambler.ru