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解决初级保健中的糖尿病困扰:我们目前的状况如何,以及我们需要何去何从?

Addressing Diabetes Distress in Primary Care: Where Are We Now, and Where Do We Need to Go?

作者信息

Kostiuk Marisa, Kramer E Seth, Nederveld Andrea, Hessler Danielle M, Fisher Lawrence, Parascando Jessica A, Oser Tamara K

机构信息

Department of Family Medicine, University of Colorado School of Medicine, 13199 E Montview Blvd, Aurora, CO, 8004, USA.

Department of Family and Community Medicine, University of California, San Francisco, CA, USA.

出版信息

Curr Diab Rep. 2025 Jan 18;25(1):17. doi: 10.1007/s11892-025-01576-4.

Abstract

PURPOSE OF REVIEW

Addressing diabetes distress (DD), the emotional demands of living with diabetes, is a crucial component of diabetes care. Most individuals with type 2 diabetes and approximately half of adults with type 1 diabetes receive their care in the primary care setting. This review will provide guidance on addressing DD and implementing targeted techniques that can be tailored to primary care patients.

RECENT FINDINGS

Structured educational, behavioral, and emotion-focused techniques have promise for treating DD. These interventions are unlikely to require advanced training and can be feasibly integrated into primary care settings without creating additional burdens on time or resources. Interventional studies examining treatment for DD are limited, leaving a gap for clear direction and consensus on how to target and treat DD in primary care patients. This review consolidates recommendations and approaches from recent findings on how to treat DD within the context of primary care.

摘要

综述目的

应对糖尿病困扰(DD),即糖尿病患者在生活中面临的情感需求,是糖尿病护理的关键组成部分。大多数2型糖尿病患者以及约一半的1型糖尿病成年患者在初级保健机构接受治疗。本综述将为应对糖尿病困扰以及实施可针对初级保健患者量身定制的靶向技术提供指导。

最新发现

结构化教育、行为和以情绪为重点的技术有望治疗糖尿病困扰。这些干预措施不太可能需要高级培训,并且可以切实可行地整合到初级保健机构中,而不会在时间或资源上造成额外负担。研究糖尿病困扰治疗的干预性研究有限,在如何针对和治疗初级保健患者的糖尿病困扰方面缺乏明确的方向和共识。本综述整合了近期研究结果中关于如何在初级保健背景下治疗糖尿病困扰的建议和方法。

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