基于质性研究的青少年糖尿病患者的疾病体验和管理的综述
A Review of the Disease Experience and Management of Adolescent Patients with Diabetes Based on Qualitative Research
DOI: 10.12677/acm.2025.154945, PDF,   
作者: 陈 红, 冯桂波：重庆医科大学附属永川医院全科医学科，重庆
关键词: 青少年；糖尿病；疾病体验；管理；质性研究；Adolescent； Diabetes Mellitus； Disease Experience； Management； Qualitative Research
摘要: 截至2021年，全球约有5163万例<18岁的青少年及儿童糖尿病患者，其中约95%为1型糖尿病，5%为2型糖尿病。2021年，我国1型糖尿病患病人数，0~14岁为2.96万，0~19岁为5.6万。在儿童及青少年，2型糖尿病患者使用二甲双胍和胰岛素降糖，1型糖尿病使用胰岛素降糖，青少年糖尿病患者处在家庭管理到自主管理的过渡阶段，青春期胰岛素抵抗、治疗依从性降低、父母参与减少、社会生活优先化和冒险行为导致青少年糖尿病患者的血糖控制恶化，本文旨在系统地了解青少年糖尿病患者的疾病感受、对糖尿病相关知识的了解程度和就诊过程的体验，为青少年糖尿病的管理和改善治疗依从性提供参考。
Abstract: As of 2021, there are about 51.63 million cases of diabetes in adolescents aged <18 years worldwide, of which about 95% have type 1 diabetes and 5% have type 2 diabetes. In 2021, the number of people with type 1 diabetes in China was 29,600 in the age of 0~14 and 56,000 in the age of 0~19. In children and adolescents, metformin and insulin are used to lower glucose in patients with type 2 diabetes, insulin is used to lower blood sugar in type 1 diabetes, and patients with adolescent diabetes are in the transition stage from family management to self-management, and adolescent insulin resistance, reduced treatment adherence, decreased parental involvement, social prioritization, and risk-taking behaviors lead to worsening glycemic control in adolescents with diabetes. The knowledge of diabetes and the experience of the treatment process provide a reference for the management of juvenile diabetes mellitus and the improvement of treatment compliance.
文章引用：陈红, 冯桂波. 基于质性研究的青少年糖尿病患者的疾病体验和管理的综述[J]. 临床医学进展, 2025, 15(4): 385-392. https://doi.org/10.12677/acm.2025.154945

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