意大利1型糖尿病过渡期青少年和年轻成年人:一个范围审查
Valentina Vanzi1,2,3, Ilaria Campagna2, Fabiola Spina2
1Department of Biomedicine and Prevention, University of Rome Tor Vergata, 00133 Rome, Italy.
Children (Basel, Switzerland)
|February 27, 2026
概括
意大利1型糖尿病患者 (T1DM) 青少年的医疗保健转型不一致. 虽然技术的采用显示出希望,但缺乏验证的准备工具阻碍了青少年和年轻人 (AYA) 的有效,个性化护理.
科学领域:
- 儿科内分泌学 儿科内分泌学
- 公共卫生 公共卫生
- 医疗保健管理的管理
背景情况:
- 年轻人患1型糖尿病 (T1DM) 是一个日益严重的全球性问题,意大利面临高发病率.
- 从儿科到成人护理的过渡是T1DM青少年和年轻成年人 (AYA) 的关键,脆弱时期,增加并发症风险.
- 对T1DM AYAs的医疗保健转型的意大利证据进行映射对于改善护理途径至关重要.
研究的目的:
- 综合审查和绘制意大利现有的关于T1DM的AYA医疗保健转型的研究.
- 确定关键主题,包括过渡过程,患者体验,技术使用,护理模式和准备评估.
- 突出差距,并为意大利未来的研究和临床实践提供信息.
主要方法:
- 根据JBI的方法进行了范围审查.
- 专注于患有T1DM的意大利AYA (10-24岁) 的研究,使用PRISMA指南系统地进行了选择.
- 最终分析中包括了20项相关研究.
主要成果:
- 意大利对T1DM AYAs的过渡格局是异质的,不一致的应用,有不同的结构化过渡项目.
- 通常报告的问题包括情绪困扰,害怕失去儿科的支持,以及对过渡过程的满意度变化.
- 技术采用正在增加,并与更好的结果有关,但整体使用不足于最佳;没有找到经过验证的意大利准备评估工具.
结论:
- 意大利T1DM AYAs的过渡护理得到认可,但缺乏标准化和强有力的评估.
- 未来的研究应该专注于多中心研究和文化验证的准备评估工具.
- 制定标准化,基于证据的过渡策略对于有效和个性化的护理至关重要.
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