弥合糖尿病护理的数字沟:对技术使用障碍和促进者的综合性审查
Eric Peprah Osei1, Sinead Campos2, Pamela Martyn-Nemeth1
1Department of Biobehavioral Nursing Science, College of Nursing, University of Illinois Chicago, Chicago, Illinois.
The science of diabetes self-management and care
|December 26, 2025
概括
经济和社会障碍限制了糖尿病技术的使用,为代表性不足的1型糖尿病 (T1DM) 的年轻人. 解决这些不平等问题需要系统变革和社区支持,以实现公平的获取.
科学领域:
- 内分泌学 在内分泌学.
- 健康 公平 卫生 公平
- 数字健康数字健康
背景情况:
- 1型糖尿病 (T1DM) 的管理越来越依赖于技术.
- 种族和民族代表性不足的青少年和年轻人在获得和利用这些技术方面面临着独特的挑战.
- 了解这些障碍对于改善健康状况和减少差距至关重要.
研究的目的:
- 确定在美国代表性不足的种族和民族青少年和患有T1DM的年轻人中使用糖尿病技术的障碍和促进因素.
- 为提高糖尿病技术的公平获取和利用的战略提供信息.
主要方法:
- 根据惠特莫尔和Knafl的方法,综合性文献综述.
- 在六个主要数据库 (PubMed,CINAHL,EMBASE,PsycINFO,Scopus,Web of Science) 进行系统搜索.
- 以社会生态模型为指导的主题编码和演合成.
主要成果:
- 确定了关键障碍:财务限制,知识不足,沟通不良,保险问题,缺乏支持和心理社会因素.
- 确定了促进者:增加支持,积极的经验,有效的沟通,社区教育和宣传.
- 八项研究符合纳入标准,突出了持续的不平等现象.
结论:
- 糖尿病技术在代表性不足的1型糖尿病青年中仍然存在显著的不平等.
- 干预措施必须解决诸如种族主义和不公平获取等系统性障碍.
- 基于社区的计划和定制的技术创新对于促进公平是必不可少的.
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