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儿童1型糖尿病:患者报告的结果
Basima A Almomani1, Roa'a N Elayyan1, Samah F Al-Shatnawi1
1Department of Clinical Pharmacy, Faculty of Pharmacy, Jordan University of Science and Technology, Irbid, Jordan.
PloS one
|May 5, 2025
概括
这项研究发现,约旦1型糖尿病 (T1DM) 的儿科患者表现出高于平均水平的胰岛素坚持和生活质量 (QoL),尽管血糖控制不佳. 建议采取干预措施,以改善患者的坚持和患者的结果.
科学领域:
- 儿科内分泌学 儿科内分泌学
- 糖尿病研究研究 糖尿病研究
- 患者报告的结果
背景情况:
- 全球1型糖尿病 (T1DM) 的患病率在儿童和青少年中不断增加.
- 在儿科T1DM中血糖控制不良会导致严重的健康问题,降低生活质量 (QoL) 和增加医疗保健利用率.
- 了解患者报告的结果对于在儿童群体中管理T1DM至关重要.
研究的目的:
- 评估在约旦接受胰岛素治疗的小儿T1DM患者的自我管理遵守,QoL,与糖尿病相关的耻辱和血糖控制.
- 确定影响这些患者报告结果和临床指标的决定因素.
- 为改善约旦青年T1DM管理提供有针对性的干预措施提供见解.
主要方法:
- 一项涉及约旦北部150名儿科T1DM患者的横截面研究 (2023年4月至10月).
- 面对面的采访使用经过验证的,阿拉伯语翻译的工具,用于遵守 (糖尿病管理问卷),QoL (儿科生活质量库存3.0糖尿病模块) 和耻辱 (儿童对疾病态度量表).
- 通过糖化血红蛋白 (HbA1c) 水平评估的血糖控制.
主要成果:
- 平均坚持得分为57.4±18.13;年轻的年龄,更高的收入和更短的疾病持续时间与更好的坚持有关.
- 平均QOL得分为63.27±11.86;男性性别和缺乏与疾病相关的因素与较低的QOL相关.
- 76%的患者患有无法控制的糖尿病;疾病持续时间和母亲的教育影响了血糖控制. 体重指数 (BMI) 和家族DM病史与污名化有关.
结论:
- 尽管面临挑战,但约旦的儿科T1DM患者表现出良好的胰岛素坚持性和QOL.
- 很大一部分患者表现出不受控制的糖尿病,突出了需要改进的管理策略.
- 建议针对性干预,重点关注粘附决定因素和血糖控制,以提高患者的整体结果.
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