卢泫溢,冯兰棱,吴冬梅.青少年1型糖尿病患者糖尿病痛苦相关因素Meta分析[J].四川精神卫生杂志,2024,37(2):173-178.Lu Xuanyi,Feng Lanling,Wu Dongmei,Factors related to diabetes distress among adolescent patients with type 1 diabetes: a Meta-analysis[J].SICHUAN MENTAL HEALTH,2024,37(2):173-178
青少年1型糖尿病患者糖尿病痛苦相关因素Meta分析
Factors related to diabetes distress among adolescent patients with type 1 diabetes: a Meta-analysis
投稿时间:2023-06-13  
DOI:10.11886/scjsws20230613001
中文关键词:  青少年  1型糖尿病  糖尿病痛苦  Meta分析
英文关键词:Adolescents  Type 1 diabetes  Diabetes distress  Meta-analysis
基金项目:四川省科技计划项目(项目名称:“家庭同步助力青少年成长进阶:培养积极心理,提升家庭抗逆力”心理健康科普培训,项目编号:24KJPX0034)
作者单位邮编
卢泫溢 遵义医科大学护理学院贵州 遵义 563000 563000
冯兰棱 成都市第四人民医院四川 成都 610036
电子科技大学成都脑科学研究院临床医院四川 成都 610036 
610036
吴冬梅* 成都市第四人民医院四川 成都 610036
电子科技大学成都脑科学研究院临床医院四川 成都 610036 
610036
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中文摘要:
      背景 糖尿病痛苦在青少年1型糖尿病患者中高发,给患者带来诸多不良影响。然而,目前关于青少年1型糖尿病患者糖尿病痛苦的相关因素尚不明确。目的 通过Meta分析探索青少年1型糖尿病患者糖尿病痛苦的相关因素,为预防和改善青少年1型糖尿病患者糖尿病痛苦提供参考。方法 于2022年12月1日,计算机检索PubMed、Cochrane Library、Web of Science、Embase、中国知网、万方、维普和中国生物医学文献数据库,系统收集青少年1型糖尿病患者糖尿病痛苦的相关文献,采用美国卫生保健质量和研究机构(AHRQ)推荐的横断面研究质量评价标准和纽卡斯尔-渥太华量表(NOS)分别对横断面研究和队列研究进行质量评价。采用RevMan 5.3进行Meta分析。结果 共纳入22篇文献,包含 6 442例青少年1型糖尿病患者。青少年1型糖尿病患者糖尿病痛苦与年龄(r=0.094,95% CI:0.042~0.145)、糖化血红蛋白(HbA1c)(r=0.291,95% CI:0.248~0.335)、特质焦虑(r=0.585,95% CI:0.526~0.639)、抑郁症状(r=0.635,95% CI:0.590~0.676)、心理韧性(r=-0.410,95% CI:-0.528~-0.276)、父母的糖尿病痛苦(r=0.462,95% CI:0.421~0.501)相关。结论 青少年1型糖尿病患者糖尿病痛苦与多种因素相关,包括年龄、HbA1c、特质焦虑、抑郁症状、心理韧性以及父母的糖尿病痛苦。
英文摘要:
      Background Diabetes distress is highly prevalent and has adverse impacts in adolescent patients with type 1 diabetes. However, the related factors of diabetes distress in adolescents with type 1 diabetes are not clear.Objective To identify the factors associated with diabetes distress in adolescents with type 1 diabetes using Meta-analysis, and to provide a scientific evidence for effective prevention and improvement of diabetes distress in adolescents with type 1 diabetes.Methods On December 1, 2022, a computerized search was conducted on databases including PubMed, Cochrane Library, Web of Science, Embase, CNKI, Wanfang Data, VIP and China Biomedical Literature Database, and studies relevant to diabetes distress in adolescents with type 1 diabetes were systematically included. Quality assessment of cross-sectional and cohort studies was carried out using criteria defined by the Agency for Healthcare Research and Quality (AHRQ) and Newcastle-Ottawa Scale (NOS). Then the included studies were pooled in a Meta-analysis using Revman 5.3.Results A total of 22 studies were included, involving 6 442 adolescents with type 1 diabetes. Meta-analysis denoted that the occurrence of diabetes distress among adolescents with type 1 diabetes was correlated with age (r=0.094,95% CI: 0.042~0.145), HbA1c (r=0.291, 95% CI: 0.248~0.335), trait anxiety (r=0.585, 95% CI: 0.526~0.639), depressive symptoms (r=0.635, 95% CI: 0.590~0.676), resilience (r=-0.410, 95% CI: -0.528~-0.276) and parents' diabetes distress (r=0.462, 95% CI: 0.421~0.501).Conclusion Factors including age, HbA1c, trait anxiety, depressive symptoms, resilience and parents' diabetes distress are correlated with diabetes distress in adolescents with type 1 diabetes. [Funded by Sichuan Science and Technology Program (number, 24KJPX0034)]
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