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首页> 外文期刊>Current diabetes reports. >The Detection and Management of Diabetes Distress in People With Type 1 Diabetes
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The Detection and Management of Diabetes Distress in People With Type 1 Diabetes

机译：1型糖尿病患者的糖尿病困扰的检测和处理

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摘要

Diabetes distress (DD) represents a significant clinical burden in which levels of DD are related to both glycated haemoglobin (HbA1c) and some self-management behaviours. DD is related to, but different from, depression. Differences in DD experienced in people with type 1 and type 2 diabetes have been observed. Commonly measured using the Problem Areas in Diabetes Scale (PAID) and the Diabetes Distress Scale (DDS), rates of elevated DD in research study participants range from 20 to 30 %. Risk factors for elevated DD in type 1 diabetes are longer duration of diabetes, severe hypoglycaemia, younger age and being female. A systematic review of intervention studies assessing DD identified eight randomised controlled trials (RCTs) and nine pre-post design studies. Only three studies targeted DD with the intervention. Intervention types were diabetes self-management education (DSME), psychologically informed self-management and devices. DSME pre-post studies, namely the Dose Adjustment For Normal Eating (DAFNE) programme, produced more consistent improvements in DD and HbA1c at follow-up. Psychologically informed self-management was more heterogeneous, but several RCTs were effective in reducing DD. Group interventions offered the greatest benefits across intervention designs.
机译：糖尿病困扰（DD）代表着重大的临床负担，其中DD的水平与糖化血红蛋白（HbA1c）和某些自我管理行为有关。 DD与抑郁有关，但与抑郁不同。已经观察到患有1型和2型糖尿病患者的DD差异。通常使用糖尿病问题量表（PAID）和糖尿病困扰量表（DDS）进行测量，研究参与者的DD升高率在20％至30％之间。 1型糖尿病中DD升高的危险因素是糖尿病持续时间更长，严重的低血糖症，年轻和女性。评估DD的干预研究的系统评价确定了八项随机对照试验（RCT）和九项事前设计研究。只有三项研究以DD为干预目标。干预类型为糖尿病自我管理教育（DSME），心理知情自我管理和设备。 DSME的事前研究（即正常饮食剂量调整（DAFNE）计划）在随访中对DD和HbA1c的改善更为一致。心理上的自我管理更为多样化，但是一些RCT在降低DD方面有效。小组干预在干预设计中提供了最大的好处。

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