Pehr-Szeliga Danielle, Rutkowski Aneta, Neuman Michelle, Amer Kim, Webber-Ritchey Kashica J
School of Nursing, College of Science and Health, DePaul University, Chicago, Illinois, USA.
J Adv Nurs. 2025 Aug;81(8):4411-4446. doi: 10.1111/jan.16666. Epub 2024 Dec 20.
The aim of the study was to synthesise current evidence on the transition of type 1 diabetes management responsibility from caregiver to child.
A state-of-the-art review was conducted.
Using Rayyan software, two authors independently performed the study selection.
CINAHL, PubMed and Web of Science databases were searched to identify relevant articles that focused on children ages 1-19 who were transitioning care of paediatric type 1 diabetes. The last search was performed on 17 October 2023.
Thirty-seven studies conducted in four different countries were included following abstract screening, full-text review and assessment for risk of bias-23 quantitative, 13 qualitative and one mixed method. One study examined early childhood transition, five studies examined middle childhood and 31 studies examined transition strategies utilised in later childhood. Themes in clinician and caregiver transition interventions were identified.
Findings can inform the development and refinement of transition interventions to help clinicians and caregivers ensure a successful transition of type 1 diabetes management to the paediatric patient.
A rigorous investigation to validate strategies for different age groups is needed. To support this process and improve type 1 diabetes mellitus outcomes for paediatric patients, research and recommendations should be further reviewed to assist in tailoring interventions accordingly.
Effective transition management strategies to shift responsibility from caregiver to child are increasingly important to ensuring safe self-management of paediatric type 1 diabetes. Reviews on type 1 diabetes transition management strategies for youth are needed. In this systematic review, we highlight transition strategies for children ages 1-19 who were transitioning care of paediatric type 1 diabetes. Findings offer insight on long-term diabetes management to improve patient outcomes in paediatric patients with type 1 diabetes.
We adhered to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines.
No patient or public contribution was required in this review.
本研究旨在综合当前关于1型糖尿病管理责任从照料者向儿童转移的证据。
进行了一项最新综述。
使用Rayyan软件，两位作者独立进行研究筛选。
检索了CINAHL、PubMed和科学网数据库，以识别关注1至19岁正在过渡小儿1型糖尿病护理的儿童的相关文章。最后一次检索于2023年10月17日进行。
经过摘要筛选、全文审查和偏倚风险评估，纳入了在四个不同国家进行的37项研究——23项定量研究、13项定性研究和1项混合方法研究。1项研究考察了幼儿期过渡，5项研究考察了童年中期，31项研究考察了童年后期采用的过渡策略。确定了临床医生和照料者过渡干预措施中的主题。
研究结果可为过渡干预措施的制定和完善提供参考，以帮助临床医生和照料者确保将1型糖尿病管理成功过渡给小儿患者。
需要进行严格调查以验证针对不同年龄组的策略。为支持这一过程并改善小儿患者的1型糖尿病结局，应进一步审查研究和建议，以协助相应地调整干预措施。
将责任从照料者转移至儿童的有效过渡管理策略对于确保小儿1型糖尿病的安全自我管理日益重要。需要对青少年1型糖尿病过渡管理策略进行综述。在本系统综述中，我们重点介绍了1至19岁正在过渡小儿1型糖尿病护理的儿童的过渡策略。研究结果为长期糖尿病管理提供了见解，以改善1型糖尿病小儿患者的结局。
我们遵循系统评价和Meta分析的首选报告项目（PRISMA）指南。
本综述无需患者或公众参与。
