糖尿病耻辱和临床结果:国际综述
Kelsey B Eitel1, Catherine Pihoker1, Catherine E Barrett2
1Department of Pediatrics, University of Washington, Seattle, WA 98105, USA.
Journal of the Endocrine Society
|August 6, 2024
概括
糖尿病耻辱,一种社会负担,对糖尿病患者产生负面影响. 本次审查强调了其高患病率和与较差的健康结果和跨年龄组和糖尿病类型的心理社会挑战的关联.
科学领域:
- 内分泌学 在内分泌学.
- 心理学 心理学 心理学
- 公共卫生 公共卫生
背景情况:
- 糖尿病污名是影响糖尿病患者的重大社会负担.
- 它表现为各种生活领域的社会判断,偏见或刻板印象.
- 了解其影响对于改善患者护理和治疗结果至关重要.
研究的目的:
- 审查评估糖尿病污名的方法.
- 探索与糖尿病耻辱相关的患病率,促成因素和临床结果.
- 发现了解糖尿病污名的差距,特别是在2型糖尿病的年轻人中.
主要方法:
- 对评估糖尿病污名的研究进行系统审查.
- 分析不同人口和糖尿病类型的流行数据.
- 审查耻辱和临床/心理社会结果之间的关联.
主要成果:
- 报告的糖尿病污名的高患病率:T1D成人高达78%,T2D成人高达70%,T1D年轻人高达98%.
- 耻辱感与心理社会功能下降,自我照顾能力下降,HbA1c高,并发症增加 (DKA,低血糖,慢性问题) 有关.
- 在了解耻辱机制方面存在差距,特别是对于患有T2D的年轻人来说.
结论:
- 糖尿病污名是普遍存在的,并对1型和2型糖尿病患者的临床和心理社会结果产生不利影响.
- 需要进一步的研究来阐明耻辱机制,特别是在2型糖尿病的年轻人群中.
- 解决糖尿病耻辱是全面糖尿病管理和改善生活质量的关键.
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