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影响1型糖尿病青少年生活质量的因素:韩国的一项横断面研究。

Factors influencing quality of life in adolescents with type 1 diabetes mellitus: A cross-sectional study in South Korea.

作者信息

Park Hye-Ryeon, Park So-Yeon

机构信息

Department of Nursing, Kyungil University, Republic of Korea.

Department of Nursing, Dong-A University, Republic of Korea.

出版信息

Belitung Nurs J. 2025 May 27;11(3):357-362. doi: 10.33546/bnj.3701. eCollection 2025.

Abstract

BACKGROUND

The promotion of quality of life for adolescents with type 1 diabetes mellitus enables them to achieve physical, psychological, and social development. Improving quality of life positively influences their well-being in adulthood.

OBJECTIVE

This study aimed to identify the factors influencing quality of life in adolescents with type 1 diabetes mellitus.

METHODS

Data were collected from April 2022 to February 2023. The quality of life of 146 adolescents with type 1 diabetes mellitus was analyzed. The data were analyzed using IBM SPSS Statistics 25.0, with -tests, ANOVA, Pearson's correlation, and stepwise multiple regression.

RESULTS

The quality of life of adolescents with type 1 diabetes was significantly correlated with depression ( = -0.31, <0.001) and diabetes distress ( = -0.42, <0.001). Stepwise multiple regression analysis identified diabetes distress ( = -0.38, <0.001) and insulin treatment ( = 0.15, = 0.048) as factors influencing quality of life.

CONCLUSION

Periodic education and nursing interventions to improve self-care capacity for adolescents with type 1 diabetes mellitus are essential for reducing diabetes distress. Additionally, it is important to promote the use of insulin pump at the national level, include expanding insurance coverage and offering personalized insulin pump education.

摘要

背景

提高1型糖尿病青少年的生活质量有助于他们实现身体、心理和社会发展。改善生活质量对他们成年后的幸福感有积极影响。

目的

本研究旨在确定影响1型糖尿病青少年生活质量的因素。

方法

于2022年4月至2023年2月收集数据。对146名1型糖尿病青少年的生活质量进行分析。使用IBM SPSS Statistics 25.0对数据进行分析,采用t检验、方差分析、Pearson相关性分析和逐步多元回归分析。

结果

1型糖尿病青少年的生活质量与抑郁(r = -0.31,P <0.001)和糖尿病困扰(r = -0.42,P <0.001)显著相关。逐步多元回归分析确定糖尿病困扰(r = -0.38,P <0.001)和胰岛素治疗(r = 0.15,P = 0.048)是影响生活质量的因素。

结论

定期开展教育和护理干预,以提高1型糖尿病青少年的自我护理能力,对于减轻糖尿病困扰至关重要。此外,在国家层面推广胰岛素泵的使用也很重要,包括扩大保险覆盖范围和提供个性化的胰岛素泵教育。

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Diabetes Res Clin Pract. 2017 Aug;130:1-8. doi: 10.1016/j.diabres.2017.05.003. Epub 2017 May 16.
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