青年起病 1 型和 2 型糖尿病患者的过渡期护理：基于社会生态模型框架的范围综述方案

Transitioning care in youth-onset type 1 and type 2 diabetes: a scoping review protocol using the socio-ecological model framework.

机构信息

Clinical Center Nursing Department, National Institutes of Health, Bethesda, Maryland, USA.

Diabetes, Endocrinology, and Obesity Branch, National Institute of Diabetes, Digestive, and Kidney Diseases, National Institutes of Health, Bethesda, Maryland, USA.

出版信息

BMJ Open. 2022 Oct 27;12(10):e064186. doi: 10.1136/bmjopen-2022-064186.

DOI:10.1136/bmjopen-2022-064186

PMID:36302582

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9621196/

Abstract

INTRODUCTION

The transition from paediatric to adult diabetes care in youth-onset diabetes (type 1 diabetes mellitus, Y-T1DM and type 2 diabetes mellitus, Y-T2DM) is associated with worsening glycaemic control, missed clinical visits, decreased medication adherence and the emergence of cardiometabolic complications. The socio-ecological challenges that influence transitioning to adult diabetes care may be distinct between Y-T1DM and Y-T2DM. The goal of this scoping review is to map the state of the literature on transitioning care in Y-T2DM compared with Y-T1DM and to identify the main sources and types of evidence available. The objectives are : (1) to identify the factors within the socio-ecological framework (individual, relationship, community, societal) associated with transitioning to adult care in Y-T2DM compared with Y- T1DM, and (2) to identify knowledge gaps related to transitioning to adult care.

METHODS

The scoping review protocol and reporting will follow the Preferred Reporting Items for Systematic Reviews and Meta-Analyses for scoping reviews guidelines. A systematic search of scientific databases (PubMed, Embase, Cumulative Index to Nursing and Allied Health, Scopus and APA PsycNet will be undertaken for articles between 1 January 1990 and 30 September 2022. Study designs will include peer-reviewed experimental and quasi-experimental published studies without language or country-specific restrictions. We will exclude articles on other diabetes subtypes and will exclude non-peer reviewed articles such as opinion papers, anecdotal reports or supplementary commentaries.

ANALYSIS

References will be collated, sorted and extracted using Covidence. Factors associated with transition from paediatric to adult diabetes care in Y-T1DM and Y-T2DM will be identified using the socio-ecological framework and results will be presented in narrative format, tables, and summary graphs.

ETHICS AND DISSEMINATION

Ethical approval will not be applicable for this review.

TRIAL REGISTRATION NUMBER

https://osf.io/k2pwc.

摘要

简介

在青少年起病的糖尿病（1 型糖尿病，Y-T1DM 和 2 型糖尿病，Y-T2DM）中，从儿科到成人的糖尿病治疗过渡与血糖控制恶化、错过临床就诊、药物依从性降低以及出现心血管代谢并发症有关。影响向成人糖尿病治疗过渡的社会生态挑战在 Y-T1DM 和 Y-T2DM 之间可能有所不同。本综述的目的是绘制 Y-T2DM 与 Y-T1DM 相比，在过渡护理方面的文献状态，并确定现有主要证据来源和类型。目的是：（1）确定社会生态框架（个体、关系、社区、社会）内与 Y-T2DM 向成人护理过渡相关的因素，与 Y-T1DM 相比，以及（2）确定与向成人护理过渡相关的知识差距。

方法

本综述的方案和报告将遵循系统评价和荟萃分析用于范围综述的首选报告项目指南。将对 1990 年 1 月 1 日至 2022 年 9 月 30 日期间的科学数据库（PubMed、Embase、护理和联合健康累积索引、Scopus 和 APA PsycNet）进行系统检索，包括同行评议的实验和准实验发表研究，没有语言或国家特定的限制。我们将排除其他糖尿病亚型的文章，并排除非同行评审的文章，如意见论文、轶事报告或补充评论。