披露影响 1 型糖尿病未参保年轻成年人糖尿病护理的心理社会压力源。
Disclosure of psychosocial stressors affecting diabetes care among uninsured young adults with Type 1 diabetes.
机构信息
Division of Occupational Science and Occupational Therapy, University of Southern California, Los Angeles, CA, USA.
出版信息
Diabet Med. 2013 Sep;30(9):1140-4. doi: 10.1111/dme.12248. Epub 2013 Jun 26.
AIMS
To determine the disclosure rates of psychosocial issues affecting routine diabetes care.
METHODS
A total of 20 young adults were interviewed regarding the impact of psychosocial stressors on their diabetes care. The interviewer, endocrinologist and case manager reported the prevalence rates of psychosocial stressors. Disclosure rates were compared to determine the prevalence of psychosocial issues and the different patterns of disclosure.
RESULTS
Participants reported a high number of psychosocial stressors, which were associated with poorer glycaemic control (r = 0.60, P = 0.005). Approximately half of all disclosed stressors (50.9%) were identified in routine care; other stressors were identified only through intensive case management and/or in-depth interviews.
CONCLUSIONS
Identifying psychosocial stressors in routine care, and providing referrals to psychological or social services, is a significant unmet need and may improve glycaemic control among certain populations with diabetes. Systematic mechanisms of capturing this information, such as by screening surveys, should be considered.
目的
确定影响常规糖尿病护理的心理社会问题的披露率。
方法
共对 20 名年轻人进行了采访，了解心理社会应激源对其糖尿病护理的影响。采访者、内分泌学家和个案经理报告了心理社会应激源的流行率。比较披露率以确定心理社会问题的流行率和不同的披露模式。
结果
参与者报告了大量的心理社会应激源，这与血糖控制较差（r = 0.60，P = 0.005）有关。大约一半的所有披露的应激源（50.9%）是在常规护理中确定的；其他应激源仅通过强化个案管理和/或深入访谈确定。
结论
在常规护理中识别心理社会应激源，并提供转介给心理或社会服务，是一个重大的未满足的需求，可能会改善某些糖尿病患者的血糖控制。应考虑通过筛查调查等系统机制来获取这些信息。
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