对糖尿病患者过渡过程的动态评估
Sarah Allan1, Jessica Schmitt1, Christy Foster1
1The University of Alabama at Birmingham, Division of Pediatric Endocrinology, 1600 7th Avenue South, Birmingham, AL 35233, United States.
Health care transitions
|March 24, 2025
概括
患有1型糖尿病 (T1D) 的青少年在医疗保健过渡期间面临严重的护理差距. 改善过渡教育和提供者沟通对于改善成人糖尿病管理的结果至关重要.
科学领域:
- 儿科内分泌学 儿科内分泌学
- 医疗保健的转型 医疗保健的转型
- 第1类糖尿病管理管理
背景情况:
- 青春期标志着医疗保健转型的关键时期,需要针对1型糖尿病 (T1D) 等慢性疾病的专门流程.
- 从儿科到成人护理的有效过渡对于保持健康和预防T1D年轻人的并发症至关重要.
研究的目的:
- 评估基线数据和患者对T1D青少年当前医疗保健过渡教育过程的看法.
- 确定在T1D青少年的护理过渡中需要改进的领域.
主要方法:
- 混合方法设计利用电子病历的定量分析和提供者和患者调查的定性分析.
- 从2022年1月到2022年5月收集的数据,包括基线特征,提供者反和青少年患者经验.
主要成果:
- 在患有T1D的青少年的儿科和成人护理访问之间观察到一个显著的差距 (≥4个月).
- 提供者将预约安排和导航成人医疗保健列为关键障碍,而成人提供者则指出沟通挑战.
- 只有35.3%的青少年确定了成人提供者过渡后教育,尽管报告了充分的准备.
结论:
- 该研究强调需要加强过渡过程,包括早期教育启动 (到16岁) 和标准化文档.
- 建议改善儿科和成人护理团队之间的沟通,并简化记录转移.
- 建议主动推,以尽量减少护理缺口,并确保糖尿病管理的连续性.
相关概念视频
Diabetes: Symptoms, Diagnosis, and Complications
494
For most patients, experiencing several weeks of polyuria, polydipsia, fatigue, and significant weight loss may indicate the presence of diabetes. Furthermore, adults displaying the phenotypic appearance of type 2 diabetes (particularly those who are obese and not initially insulin-requiring), may have islet cell autoantibodies, suggesting autoimmune-mediated β cell destruction and a diagnosis of latent autoimmune diabetes of adults (LADA). The categorization of glucose homeostasis is...
494
Diabetes: Management and Pharmacotherapy
216
The therapy for diabetes aims to alleviate hyperglycemia-related symptoms, prevent acute metabolic decompensation, and reduce chronic end-organ complications. Glycemic control is evaluated through short-term (self-monitoring, continuous glucose monitoring) and long-term (A1c, fructosamine) metrics, enabling near real-time tracking of blood glucose levels and reflecting glycemic control over specific time frames.
Insulin remains the cornerstone of treatment for most patients with type 1 and many...
Insulin remains the cornerstone of treatment for most patients with type 1 and many...
216
Diabetes Mellitus: Type 2 and Gestational
2.1K
Type 2 diabetes, characterized by insulin resistance, arises when the insulin receptors on cells lose responsiveness to insulin, diminishing the cell's capacity to take up glucose, resulting in elevated blood glucose levels. To receive a diagnosis of Type 2 diabetes, a series of blood glucose tests are necessary to assess whether the blood glucose falls within normal parameters. If the result is out of the normal range, a patient may be diagnosed as prediabetic or diabetic, depending on the...
2.1K
Nursing Process for Patient and Caregiver Teaching I: Assessment and Diagnosis
1.5K
The nursing process provides a clinical decision-making framework for patients and families to establish and implement a personalized care plan. Since part of the nurse's duties is to teach patients, the steps of the nursing process are the most effective way to approach instruction. The nursing process and the teaching-learning process are inextricably linked.
It is critical to determine the patient's learning needs during the assessment. Determination of learning needs compounds data...
It is critical to determine the patient's learning needs during the assessment. Determination of learning needs compounds data...
1.5K
Diabetes Mellitus: Overview and Type I Subtype
2.3K
Diabetes mellitus is a chronic metabolic disorder characterized by high blood glucose levels due to inadequate insulin production, insulin resistance, or both. The condition affects millions worldwide and can significantly impact their health and quality of life.
Type 1 diabetes is an autoimmune disease in which the immune system mistakenly attacks and destroys the insulin-producing beta cells in the pancreas. As a result, the body is unable to produce sufficient insulin, and individuals with...
Type 1 diabetes is an autoimmune disease in which the immune system mistakenly attacks and destroys the insulin-producing beta cells in the pancreas. As a result, the body is unable to produce sufficient insulin, and individuals with...
2.3K
Pathophysiology of Diabetes
833
Diabetes mellitus is a chronic metabolic disorder characterized by hyperglycemia. The four categories of diabetes are type 1 diabetes, type 2 diabetes, other specific types of diabetes, and gestational diabetes.
Type 1 diabetes is characterized by autoimmune-mediated destruction of pancreatic β cells, with environmental factors potentially triggering this process in genetically susceptible individuals. Despite many not having a family history, certain genes increase susceptibility,...
Type 1 diabetes is characterized by autoimmune-mediated destruction of pancreatic β cells, with environmental factors potentially triggering this process in genetically susceptible individuals. Despite many not having a family history, certain genes increase susceptibility,...
833


