胰岛素治疗患者自我管理的研究进展
Research Progress on Self-Management of Insulin-Treated Patients
摘要: 胰岛素治疗是糖尿病患者血糖控制的关键环节，其自我管理能力直接关联治疗效果与生存质量。本文综述了胰岛素治疗患者自我管理的研究进展，聚焦现状、评估工具、影响因素及干预策略。影响患者自我管理能力的因素复杂多样，包括人口社会学因素、心理因素、社会家庭因素及电子健康素养等。为提升患者的自我管理能力，需要采取综合的干预策略，包括健康教育、心理干预和技术干预等。未来，需要进一步探索和优化胰岛素治疗患者自我管理的评估工具和干预措施，精准评估国内胰岛素治疗患者自我管理现状及影响因素，结合个体差异构建自我管理行为干预模式，以期提升患者的生活质量和治疗效果。
Abstract: Insulin therapy is a key component of glycemic control in diabetic patients, and their self-management ability is directly related to treatment effects and survival quality. This article reviews the research progress of self-management in insulin-treated patients, focusing on the current situation, assessment tools, influencing factors and intervention strategies. Factors affecting patients’ self-management ability are complex and varied, including demographic and sociological, psychological, socio-familial, and e-health literacy factors. In order to enhance patients’ self-management ability, comprehensive intervention strategies are needed, including health education, psychological interventions, and technological interventions. In the future, it is necessary to further explore and optimize the assessment tools and interventions for self-management of insulin-treated patients, accurately assess the current status of self-management of insulin-treated patients in China and the influencing factors, and construct a self-management behavioral intervention model by taking into account the individual differences, with the aim of enhancing the quality of life of patients and the therapeutic effects.
文章引用：王会娟, 李文华, 刘延峰. 胰岛素治疗患者自我管理的研究进展[J]. 临床医学进展, 2025, 15(8): 846-854. https://doi.org/10.12677/acm.2025.1582307

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