Lv Xiaochen, Su Linlin, Zhang Chunhui, Qu Lixia, Wang Xiaofan, Yang Xiao
Zhengzhou University, Zhengzhou, China.
Nursing and Health School, Zhengzhou University, Zhengzhou, Henan, China
BMJ Open. 2025 Jul 22;15(7):e102959. doi: 10.1136/bmjopen-2025-102959.
To systematically evaluate qualitative studies on the transition from paediatric to adult care during adolescence among patients with type 1 diabetes.
Qualitative meta synthesis.
The search terms included four main categories: diabetes, transition, experience and qualitative studies. A total of 1214 studies were identified through the database search, and a total of 9 studies met all of the inclusion criteria for this review. Some studies included participants who were young or emerging adults at the time of interview; however, their accounts reflected retrospective experiences of transitioning from paediatric to adult care during adolescence.
The following nine electronic databases were searched: PubMed, Web of Science (Core Collection), The Cochrane Library, Embase, CINAHL, PsycINFO and CNKI, WanFang and Vip. The search period included material published up to July 2024.
A total of nine studies revealed nine subthemes and three descriptive themes: difficulties and challenges, needs in transition, growing through adversity.
Adolescents living with type 1 diabetes navigate complex experiences during the transition to adult healthcare. Healthcare professionals should be attentive to their feelings, encourage them to actively engage with challenges and provide adequate information and combined parental and peer support to facilitate a smooth transition.
CRD42024560173.
系统评价关于1型糖尿病患者青春期从儿科护理过渡到成人护理的定性研究。
定性元综合分析。
检索词包括四个主要类别：糖尿病、过渡、经历和定性研究。通过数据库检索共识别出1214项研究，共有9项研究符合本综述的所有纳入标准。一些研究纳入了访谈时为年轻或初入成年期的参与者；然而，他们的叙述反映了青春期从儿科护理过渡到成人护理的回顾性经历。
检索了以下九个电子数据库：PubMed、科学网（核心合集）、考克兰图书馆、Embase、护理学与健康领域数据库、心理学文摘数据库以及中国知网、万方和维普。检索期包括截至2024年7月发表的资料。
共有九项研究揭示了九个子主题和三个描述性主题：困难与挑战、过渡需求、在逆境中成长。
患有1型糖尿病的青少年在向成人医疗保健过渡期间经历复杂。医疗保健专业人员应关注他们的感受，鼓励他们积极应对挑战，并提供充分的信息以及家长和同伴的联合支持，以促进顺利过渡。
CRD42024560173。
