Małachowska Magdalena, Gosławska Zuzanna, Rusak Ewa, Jarosz-Chobot Przemysława
Students' Scientific Association at the Department of Children's Diabetology, Medical University of Silesia, Katowice, Poland.
Faculty of Medicine, The Medical University of Warsaw, Warsaw, Poland.
Front Psychol. 2023 Jan 4;13:945042. doi: 10.3389/fpsyg.2022.945042. eCollection 2022.
Psychological support might be perceived as one of the most important factors in the treatment of people suffering from type 1 diabetes, particularly among vulnerable groups such as adolescents and young people. Problems arising from extreme pressure put on young patients, high expectations, and specific limitations associated with diabetes often reflect in negative wellbeing and affect patients' behavior, resulting in lower self-esteem, mood swings, depression, or even eating disorders. Therefore, the need for a more holistic approach to the treatment of diabetes and caring about psychological support can be observed, which may contribute to better functioning and management of the disease. Differentiation of certain approach methods such as the positive approach (PA) discussed in the text may help young patients in motivation and coping with their disease as well as accepting limitations caused by type 1 diabetes. This would decrease the risk of potential revolt against medical recommendations, common for patients at the mentioned age, and help raise awareness of the problem. Maintaining life balance through undertaking regular physical activities and being open to new strategies such as telenursing can also result in the improvement of glycemic control. The studies presented have proven the great effectiveness of personalized care adjusted to the patient with psychological support, as well as the invaluable role of education in diabetes, which includes not only standard procedures such as calculating an appropriate insulin dose but also the invention of effective coping mechanisms, which influence patients' performance and wellbeing.
心理支持可能被视为治疗1型糖尿病患者最重要的因素之一,尤其是在青少年等弱势群体中。年轻患者面临的巨大压力、高期望以及与糖尿病相关的特定限制所引发的问题,往往反映在负面的幸福感中,并影响患者的行为,导致自尊降低、情绪波动、抑郁,甚至饮食失调。因此,可以看到需要采取更全面的糖尿病治疗方法并关注心理支持,这可能有助于更好地控制疾病和管理病情。文中讨论的某些方法的差异化,如积极方法(PA),可能有助于年轻患者激发动力、应对疾病以及接受1型糖尿病所带来的限制。这将降低上述年龄段患者常见的对医疗建议潜在抵触的风险,并有助于提高对该问题的认识。通过定期进行体育活动以及接受远程护理等新策略来维持生活平衡,也可以改善血糖控制。所呈现的研究证明了在心理支持下为患者量身定制的个性化护理具有巨大成效,以及糖尿病教育的重要作用,糖尿病教育不仅包括计算适当胰岛素剂量等标准程序,还包括发明有效的应对机制,这些机制会影响患者的表现和幸福感。