影响 2 型糖尿病年轻患者接受视网膜筛查的临床和心理社会因素。
Clinical and Psychosocial Factors Influencing Retinal Screening Uptake Among Young Adults with Type 2 Diabetes.
机构信息
School of Psychology, Deakin University, Geelong, VIC, 3220, Australia.
The Australian Centre for Behavioural Research in Diabetes, Diabetes Victoria, c/- 570 Elizabeth Street, Melbourne, VIC, 3000, Australia.
出版信息
Curr Diab Rep. 2018 May 24;18(7):41. doi: 10.1007/s11892-018-1007-3.
PURPOSE OF REVIEW
Young adults with type 2 diabetes (T2D, 18-39 years) experience early-onset and rapid progression of diabetic retinopathy (DR), the leading cause of vision loss for working age adults. Despite this, uptake of retinal screening, the crucial first step in preventing vision loss from DR, is low. The aim of this review is to summarize the clinical and psychosocial factors affecting uptake of retinal screening.
RECENT FINDINGS
Barriers include lack of diabetes-related symptoms, low personal DR risk perception, high rates of depression and diabetes-related distress, fatalism about inevitability of complications, time and financial constraints, disengagement with existing diabetes self-management services, and perceived stigma due to having a condition associated with older adults. Young adults with T2D are an under-researched population who face an accumulation of barriers to retinal screening. Tailored interventions that address the needs, characteristics, and priorities of young adults with T2D are warranted.
目的综述
2 型糖尿病（T2D，18-39 岁）的年轻患者发生糖尿病视网膜病变（DR）的时间早且进展迅速，DR 是导致劳动年龄段成年人视力丧失的主要原因。尽管如此，视网膜筛查（预防 DR 导致视力丧失的关键第一步）的参与率仍然很低。本综述旨在总结影响视网膜筛查参与度的临床和社会心理因素。
最新发现
障碍包括缺乏与糖尿病相关的症状、对个人 DR 风险的感知较低、抑郁和与糖尿病相关的困扰发生率高、对并发症不可避免性的宿命论、时间和经济限制、对现有糖尿病自我管理服务的不参与以及由于患有与老年人相关的疾病而产生的耻辱感。T2D 的年轻患者是一个研究不足的人群，他们面临着视网膜筛查的诸多障碍。需要针对 T2D 的年轻患者的需求、特征和优先事项制定有针对性的干预措施。
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