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青少年1型糖尿病患者糖尿病相关心理痛苦的研究进展
张红梅
傅荣
张宁
作者及单位信息
·
DOI： 10.3760/cma.j.cn115682-20190702-02335
Research progress on diabetes-related distress in adolescents with type 1 diabetes
Zhang Hongmei
Fu Rong
Zhang Ning
Authors Info & Affiliations
Zhang Hongmei
Department of Endocrinology, Nanjing Drum Tower Hospital, the Affiliated Hospital of Nanjing University Medical School, Nanjing 210008, China
Fu Rong
Office of Internal Medicine, Drum Tower Hospital, the Affiliated Hospital of Nanjing University Medical School, Nanjing 210008, China
Zhang Ning
Department of Endocrinology, Nanjing Drum Tower Hospital, the Affiliated Hospital of Nanjing University Medical School, Nanjing 210008, China
·
DOI： 10.3760/cma.j.cn115682-20190702-02335
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摘要

糖尿病患者终身需要进行疾病的自我管理，因此会有糖尿病相关心理痛苦，而糖尿病相关心理痛苦对1型糖尿病患者的胰岛素正确注射、血糖控制和疾病自我管理又有着负性影响。本文在描述青少年1型糖尿病患者糖尿病相关心理痛苦现状的基础上，综述了该类群体相关心理痛苦的影响因素、评估工具、干预措施，为青少年1型糖尿病患者的糖尿病相关心理痛苦研究提供参考。

综述;糖尿病，1型;糖尿病相关心理痛苦;青少年
ABSTRACT

Diabetes patients need lifelong disease self-management, therefore they are with diabetes-related distress. Diabetes-related distress has negative influence on the correct insulin injection, glucose control and disease self-management of type 1 diabetes patients. On the basis of describing the current situation of diabetes-related distress in adolescents with type 1 diabetes, this paper reviewed the influencing factors, assessment tools, intervention of diabetes related distress so as to provide a basis for study on diabetes related distress in adolescents with type 1 diabetes.

Review;Diabetes mellitus, type 1;Diabetes-related distress;Adolescent
Fu Rong, Email: mocdef.3ab61lg_gnoruf
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引用本文

张红梅,傅荣,张宁. 青少年1型糖尿病患者糖尿病相关心理痛苦的研究进展[J]. 中华现代护理杂志,2020,26(08)：1115-1120.

DOI:10.3760/cma.j.cn115682-20190702-02335

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1型糖尿病是指机体内自身抗原被激活，胰岛β细胞破坏，最终导致血清中的胰岛素绝对缺乏而产生的糖尿病，因其终身需要胰岛素治疗，又称胰岛素依赖型糖尿病 [ 1 ]。糖尿病患者终身需要疾病的自我管理，长期烦琐的自我管理成为健康相关压力源，使患者产生不良的心理应答，表现为与糖尿病自我管理相关的挫败、沮丧、担忧等 [ 2 ]，学者们将主要由糖尿病管理引发的心理问题总结为糖尿病痛苦或糖尿病相关心理痛苦 [ 3 , 4 , 5 ]。研究显示，糖尿病相关心理痛苦在青少年1型糖尿病患者中的患病率约为33%～67% [ 6 , 7 , 8 ]，对1型糖尿病患者的胰岛素正确注射、血糖控制和疾病自我管理产生负性影响 [ 5 , 9 ]。美国糖尿病协会2014年颁布的糖尿病医疗保健标准提出要对糖尿病患者的心理问题（如糖尿病相关心理痛苦等）进行常规筛查 [ 10 ]，可见糖尿病相关心理痛苦对疾病自我保健的影响已不容忽视。本研究旨在阐述国内外青少年1型糖尿病患者糖尿病相关心理痛苦的研究现状，为该类群体的血糖控制、疾病自我管理、生活质量的相关研究提供依据。
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备注信息
A
傅荣，Email： mocdef.3ab61lg_gnoruf
B

张红梅，傅荣，张宁.青少年1型糖尿病患者糖尿病相关心理痛苦的研究进展[J].中华现代护理杂志，2020，26（8）：1115-1120. DOI：103760/cma.j.cn115682-20190702-02335.

C

构思与设计者为张红梅、傅荣，文献收集与整理为张红梅、张宁，论文撰写为张红梅，论文修订为张宁，傅荣审校

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