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COVID-19 大流行期间糖尿病患者的心理适应困难及其管理。

Psychological adaptive difficulties and their management during COVID-19 pandemic in people with diabetes mellitus.

机构信息

Department of Psychiatry, All India Institute of Medical Sciences, Jodhpur, Rajasthan, 342005, India.

Department of Endocrinology and Metabolism, Post Graduate Institute of Medical Education and Research (PGIMER), Chandigarh, 160012, India.

出版信息

Diabetes Metab Syndr. 2020 Nov-Dec;14(6):1603-1605. doi: 10.1016/j.dsx.2020.08.025. Epub 2020 Aug 23.

DOI:10.1016/j.dsx.2020.08.025
PMID:32862099
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7443210/
Abstract

BACKGROUND AND AIMS

People with diabetes have multiple psychosocial issues related to diabetes and its complications and this may be exacerbated during the COVID-19 pandemic.

METHODS

We reviewed the psychological adaptative difficulties in people with diabetes especially during natural disasters including the prevailing COVID-19 pandemic.

RESULTS

There are significant concerns regarding worsening of glycemic control, unavailability of appropriate medicines, inaccessibility to health care or acquiring SARS- CoV-2 infection and subsequent poorer outcomes during the COVID-19 pandemic. Although there are some guidance documents for managing diabetes and associated complications during COVID-19 pandemic but very few address the psychological issues in people with diabetes. We discuss the psychological adaptive difficulties and an approach to address the psychosocial concerns in people with diabetes during the COVID-19 pandemic.

CONCLUSIONS

People with diabetes have significant diabetes distress and psychological adaptive difficulties that is aggravated by the COVID-19 pandemic. An integrated multidisciplinary approach is needed to manage the prevailing psychological issues amongst people with diabetes during the COVID-19 pandemic.

摘要

背景与目的

糖尿病患者存在与糖尿病及其并发症相关的多种心理社会问题,而在 COVID-19 大流行期间,这些问题可能会加剧。

方法

我们回顾了糖尿病患者在自然灾害期间(包括当前的 COVID-19 大流行)的心理适应困难。

结果

人们非常担心 COVID-19 大流行期间血糖控制恶化、无法获得适当的药物、无法获得医疗保健或感染 SARS-CoV-2 以及随后的不良后果。尽管有一些关于在 COVID-19 大流行期间管理糖尿病及其相关并发症的指导文件,但很少有文件涉及糖尿病患者的心理问题。我们讨论了 COVID-19 大流行期间糖尿病患者的心理适应困难以及解决糖尿病患者心理社会问题的方法。

结论

COVID-19 大流行期间,糖尿病患者的糖尿病困扰和心理适应困难明显加重。需要采用综合多学科方法来管理 COVID-19 大流行期间糖尿病患者当前存在的心理问题。

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