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首页> 外文期刊>Diabetic medicine: A journal of the British Diabetic Association >Young people's experiences of managing Type 1 diabetes at university: a national study of UK UK university students
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Young people's experiences of managing Type 1 diabetes at university: a national study of UK UK university students

机译：大学管理1型糖尿病的年轻人的经验：英国英国大学生的国家研究

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Abstract Aim Little is known about the challenges of transitioning from school to university for young people with Type 1 diabetes. In a national survey, we investigated the impact of entering and attending university on diabetes self‐care in students with Type 1 diabetes in all UK universities. Methods Some 1865 current UK university students aged 18–24 years with Type 1 diabetes, were invited to complete a structured questionnaire. The association between demographic variables and diabetes variables was assessed using logistic regression models. Results In total, 584 (31%) students from 64 hospitals and 37 university medical practices completed the questionnaire. Some 62% had maintained routine diabetes care with their home team, whereas 32% moved to the university provider. Since starting university, 63% reported harder diabetes management and 44% reported higher HbA 1c levels than before university. At university, 52% had frequent hypoglycaemia, 9.6% reported one or more episodes of severe hypoglycaemia and 26% experienced diabetes‐related hospital admissions. Female students and those who changed healthcare provider were approximately twice as likely to report poor glycaemic control, emergency hospital admissions and frequent hypoglycaemia. Females were more likely than males to report stress [odds ratio ( OR ) 4.78, 95% confidence interval ( CI ) 3.19–7.16], illness ( OR 3.48, 95% CI 2.06–5.87) and weight management issues ( OR 3.19, 95% CI 1.99–5.11) as barriers to self‐care. Despite these difficulties, 91% of respondents never or rarely contacted university support services about their diabetes. Conclusion The study quantifies the high level of risk experienced by students with Type 1 diabetes during the transition to university, in particular, female students and those moving to a new university healthcare provider.
机译：摘要宗旨是众所周知，挑战从学校过渡到1型糖尿病的年轻人。在国家调查中，我们调查了在英国所有大学的1型糖尿病学生中进入和参加糖尿病自我护理的影响。方法采用1865名英国大学学生18-24岁，患1型糖尿病患者，邀请填写结构化问卷。使用Logistic回归模型评估人口统计变量和糖尿病变量之间的关联。从64家医院和37所大学医疗惯例的总共有584名（31％）的学生完成了调查问卷。大约62％的人与他们的家庭团队保持了常规糖尿病护理，而32％的人搬到了大学提供商。自从开始大学以来，63％报道糖尿病较难管理，44％报告的HBA 1C级别比大学前。在大学，52％的低血糖频繁，9.6％报告了一个或多次严重低血糖和26％的糖尿病相关医院入学。女学生和改变医疗保健提供者的女学生大概是报告血糖控制差，急诊医院入学和频繁低血症的可能性的两倍。女性比男性更可能报告应激[赔率比（或）4.78，95％置信区间（CI）3.19-7.16]，疾病（或3.48,95％CI 2.06-5.87）和体重管理问题（或3.19,95 ％CI 1.99-5.11）作为自我保健的障碍。尽管有这些困难，但91％的受访者从未或很少联系过大学支持患者的糖尿病。结论该研究量化了在向大学过渡期间患有1型糖尿病的学生经历的高潜水风险，特别是女性学生和搬到新的大学医疗保健提供者。

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    Kellett J.; Sampson M.; Swords F.; Murphy H. R.; Clark A.; Howe A.; Price C.; Datta V.; Myint K. S.;

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    Norfolk and Norwich University Hospitals NHS Foundation TrustClinical Research and Trials;

    Norfolk and Norwich University Hospitals NHS Foundation TrustClinical Research and Trials;

    Norfolk and Norwich University Hospitals NHS Foundation TrustClinical Research and Trials;

    University Medical CentreUniversity of East AngliaNorwich UK;

    Norwich Medical SchoolFaculty of Health and Medical SciencesNorwich UK;

    Norwich Medical SchoolFaculty of Health and Medical SciencesNorwich UK;

    University Medical CentreUniversity of East AngliaNorwich UK;

    Department of PaediatricsNorfolk and Norwich University Hospitals NHS Foundation TrustNorwich UK;

    Department of Diabetes and EndocrinologyNorfolk and Norwich University Hospitals NHS Foundation;

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  • 中图分类 内分泌腺疾病及代谢病;
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