Leung Joseph M W S, Al-Yahyawi Naseem Y, Choi Heywood S, Stewart Laura L, Bone Jeffrey N, Tang Tricia S, Amed Shazhan
Division of Endocrinology, Department of Medicine, The University of British Columbia, Vancouver, BC, Canada.
Division of Endocrinology and Diabetes, Department of Pediatrics, The University of British Columbia, Vancouver, BC, Canada.
Pediatr Diabetes. 2023 Sep 25;2023:5580180. doi: 10.1155/2023/5580180. eCollection 2023.
Youths with type 1 diabetes transitioning from pediatric to adult care are known to experience significant glycemic excursions and medical complications. Diabetes distress and transition readiness are two potentially related constructs involved in this transition process, but the relationship between them has not been extensively studied. . Lower diabetes distress is associated with increased transition readiness among youths with type 1 diabetes transitioning to adult care.
One hundred one adolescents and emerging adults with type 1 diabetes transitioning to adult care complete data in 63 study participants.
In this cross-sectional study, we collected diabetes distress scale scores (via T1-DDS) and transition readiness scores (via Am I ON TRAC) at the last pediatric diabetes visit. We fitted regression models to estimate the relationship between T1-DDS scores and ON TRAC scores.
The total mean T1-DDS score was associated with ON TRAC knowledge score ( = -2.73, 95% CI -4.41,-1.06, =0.002), behavior score ( = -2.61, 95% CI -4.39,-0.84, =0.005), and transition readiness indicator ( = -0.18, -0.34,-0.01, =0.03). Multiple T1-DDS subscales were associated with ON TRAC knowledge score: powerlessness, management distress, negative social perceptions, eating distress, physician distress, and family/friend distress. Multiple T1-DDS subscales were also associated with ON TRAC behavior score: management distress, negative social perceptions, eating distress, and family/friend distress.
Diabetes distress and transition readiness have an inversely proportional relationship in youths with type 1 diabetes transitioning to adult care. Targeting diabetes distress may also improve transition readiness (and vice versa) in this population.
已知1型糖尿病青少年从儿科护理过渡到成人护理时会经历显著的血糖波动和医疗并发症。糖尿病困扰和过渡准备状态是这一过渡过程中两个潜在相关的概念，但它们之间的关系尚未得到广泛研究。较低的糖尿病困扰与向成人护理过渡的1型糖尿病青少年的过渡准备状态增加有关。
101名向成人护理过渡的1型糖尿病青少年和新兴成年人，63名研究参与者完成了数据收集。
在这项横断面研究中，我们在最后一次儿科糖尿病就诊时收集了糖尿病困扰量表评分（通过T1-DDS）和过渡准备状态评分（通过“我是否步入正轨”量表）。我们拟合回归模型以估计T1-DDS评分与“步入正轨”量表评分之间的关系。
T1-DDS总平均分与“步入正轨”量表的知识评分（β=-2.73，95%可信区间-4.41，-1.06，P=0.002）、行为评分（β=-2.61，95%可信区间-4.39，-0.84，P=0.005）以及过渡准备状态指标（β=-0.18，-0.34，-0.01，P=0.03）相关。多个T1-DDS子量表与“步入正轨”量表的知识评分相关：无助感、管理困扰、负面社会认知、饮食困扰、医生困扰以及家庭/朋友困扰。多个T1-DDS子量表也与“步入正轨”量表的行为评分相关：管理困扰、负面社会认知、饮食困扰以及家庭/朋友困扰。
在向成人护理过渡的1型糖尿病青少年中，糖尿病困扰与过渡准备状态呈反比关系。针对糖尿病困扰也可能改善该人群的过渡准备状态（反之亦然）。
