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在儿童住院精神科护理环境中管理1型糖尿病

Managing Type 1 Diabetes in an Inpatient Child Psychiatric Care Setting.

作者信息

Olinger Amanda L, Sachdeva Shilpa, Manzardo Ann M, Cain Sharon E

机构信息

Departments of Psychiatry & Behavioral Sciences and Pediatrics, University of Kansas Medical Center, Kansas City, KS.

出版信息

Diabetes Spectr. 2024 Aug 15;37(3):234-240. doi: 10.2337/dsi24-0008. eCollection 2024 Summer.

DOI:10.2337/dsi24-0008
PMID:39157783
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11327167/
Abstract

Individuals with diabetes are at increased risk for psychological, behavioral, and social problems. Comorbid mental illness and diabetes present a unique set of challenges for people with diabetes and their health care providers, particularly in an inpatient setting. Psychiatric symptoms before admission may affect type 1 diabetes management, and mental status and behavior can affect individuals' ability to cooperate with treatment while they are inpatients. This article describes a clinical protocol to manage type 1 diabetes and maximize patient safety in an acute inpatient child psychiatric unit.

摘要

糖尿病患者出现心理、行为和社会问题的风险更高。合并精神疾病和糖尿病给糖尿病患者及其医护人员带来了一系列独特的挑战,尤其是在住院环境中。入院前的精神症状可能会影响1型糖尿病的管理,而精神状态和行为会影响患者住院期间配合治疗的能力。本文介绍了一种在急性儿童精神科住院病房管理1型糖尿病并最大限度提高患者安全性的临床方案。

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本文引用的文献

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A Randomized Clinical Trial Assessing Continuous Glucose Monitoring (CGM) Use With Standardized Education With or Without a Family Behavioral Intervention Compared With Fingerstick Blood Glucose Monitoring in Very Young Children With Type 1 Diabetes.一项随机临床试验评估了在标准化教育中使用连续血糖监测(CGM)与在接受指尖血糖监测的基础上增加家庭行为干预相比,对 1 型糖尿病的非常年幼的儿童的效果。
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World Psychiatry. 2020 Jun;19(2):214-232. doi: 10.1002/wps.20765.
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Diabetes Care. 2020 Feb;43(2):484-486. doi: 10.2337/dc19-1487. Epub 2019 Dec 16.
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Continuous subcutaneous insulin infusion vs modern multiple injection regimens in type 1 diabetes: an updated meta-analysis of randomized clinical trials.1 型糖尿病患者采用持续皮下胰岛素输注与现代多次胰岛素注射方案的比较:随机临床试验的更新荟萃分析。
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