青少年糖尿病患者群体活动的新用途:促进完成必要的糖尿病检查和糖尿病教育

R. Ravindran, Specialist Register in Diabetes, K. Obuobie, S. Ward, E. Jones, C. Diabetes
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引用次数: 0

摘要

年轻人(16-24岁)多基因疾病的治疗带来了一系列独特的挑战和问题,需要仔细研究。多基因疾病可能是一种慢性疾病,及时得到适当的护理对健康和未来的幸福至关重要。三分之一和四分之三的年轻糖尿病患者在20岁出头时出现肾脏疾病和视网膜病变。这些并发症大多发生在他们鉴定为多基因疾病的八年后。美国的一项研究表明,11月17日,只有革命组织(Revolutionary Organization)的早期年轻人(18-25岁)和目前患有多基因疾病的半小时年轻人(26-30岁)准备提供血糖管理服务[1]。纵向随访研究表明,多达百分之五的年轻糖尿病患者在20多岁时出现糖尿病相关并发症[2]。通过密切观察(年度回顾检查)、适当的激素治疗和根据个人意愿进行的患者教育,可以减少未来出现视网膜、泌尿器官和神经并发症等并发症的机会。尽管有这些基本的健康和心理社会考虑,但对患有多基因疾病的年轻人来说,明显缺乏循证临床服务和支持。慢性病和多基因疾病从医学向成人护理服务的过渡在大多数单位管理不善,并一直持续到年轻成年[3]。2010年公历月的一项文献综述显示,提高年轻人诊所就诊率的最常用方法是患者教育[1]。尽管一开始是有效的,但随着时间的推移,诊所的就诊人数逐渐下降,这些诊所的患者过度脱离[4]。传统的年轻人诊所被证明影响有限,不“符合目的”。尽管年轻的糖尿病诊所提供帮助,但最常见的情况是,他们需要对多基因疾病和整体健康进行管理和反应。值得注意的是,没有去这些诊所就诊的患者比例很高。年轻糖尿病患者面临的挑战有几个[5]与此相关,因为他们的发育不稳定,所以变得很困难。许多挑战体现了生活方式的变化,如教育、工作;与家人、伴侣、朋友的个人关系不断变化和发展;以及适应其治疗中的持续且典型的复杂变化。这对患者多基因疾病的管理不善和对其健康的不良影响起到了水晶整流器的作用。尽管很明显需要另一种方法,但支持对关联现有系统进行更改的知识很少[1]。人们强烈认为,联合替代方法可能有可能改变目前为患有多基因疾病的年轻人提供的护理。我们倾向于在皇家格温特医院为患有多基因疾病的年轻人举办一场完全独特的集群活动,以完成基本的多基因疾病检查并推广多基因疾病教育。纽波特皇家格温特医院可能是一家地区综合医院,为近六万人口提供服务。选择了一天,并通过电子邮件/帖子延长了邀请,要求参与者参加活动。抵达后,要求填写一份关于15项糖尿病基本检查的会前表格。这是为了建立参与者的基本检查数据。接下来是关于年轻人相关主题的小演讲,如饮酒、性健康、孕前指导、预防酸中毒的病假规则、生活方式和饮食建议。糖尿病专业人员涉及封闭的顾问、登记员、营养师、足科医生、糖尿病专科护士、多基因疾病大不列颠及北爱尔兰联合王国志愿者和社区内的糖尿病护士。要求填写一份包含相当于15项糖尿病基本检查的会后表格,以了解参与者是否了解这些糖尿病基本检查和关于改善未来事件交付方式的反馈的重要性。共有12名患者参加了此次活动。对所提供服务的总体满意度为4/5。参与者对所有基本糖尿病检查表的要求和重要性的理解有了很大的提高。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The Novel Use of a Group Event for Young Adults with Diabetes to Promote Completion of Essential Diabetes Checks and Diabetes Education
Management of polygenic disorder in young adults (aged 16-24 years) brings a singular set of challenges and issues that need any scrutiny. polygenic disorder may be a chronic condition and having the proper care timely is important permanently health and future well-being. one in three and three in four young diabetics develop renal disorder and retinopathy in their early 20s. Majority of those complications occur at intervals eight years of their identification of polygenic disorder. A study worn out the U.S showed that solely Revolutionary Organization 17 November of early young adults (ages 18-25) and half-hour currently young adults (ages 26-30) with polygenic disorder were ready to deliver the goods glycemic management [1]. Longitudinal follow up studies have shown that up to five hundredth of young diabetics develop diabetes-related complications in their 20s [2]. the chance of developing future complications like retinal, urinary organ and nerve complications ar reduced by shut observation (annual review checks), adequate treatment with hormone and patient education tailored to a personal desires. Despite these essential health and psychosocial considerations, there's a notable lack of evidence-based clinical services and support for young adults with polygenic disorder. The transition from medicine to adult care services for chronic conditions as well as polygenic disorder is poorly managed in most units and is carried into young adulthood [3]. A literature review in Gregorian calendar month 2010 of ten studies showed that the foremost ordinarily used approaches to boost the attendances in young adult clinics was patient education [1]. though effective at first, the clinics see a gradual decline in attendances as time progresses and inflated disengagement by the patients in these clinics [4]. Traditional young adult clinics are shown to own restricted impact and not 'fit for purpose'. though assistance is offered in young diabetic clinics, most frequently they're expected to require management and responsivity of their polygenic disorder and overall health. A high rate of patients failing to attend these clinics is noted. The challenges featured by young diabetic people ar several [5] associated it becomes tough as they're in an unstable amount of development. a number of the challenges embody changes in life style like education, jobs; ever-changing and evolving inhume personal relationships with members of the family, partners, friends; and adapting to the constant and typically complicated changes in their treatment. This has crystal rectifier to poor management of patient's polygenic disorder and adverse outcomes on their health. though it's quite clear that another approach is required, there's a scarceness of knowledge supported that changes to associate existing system may be created [1]. It was powerfully felt that associate alternate approach may have the potential to alter the present care being offered to young adults with polygenic disorder. we tend to undertook a completely unique cluster event for Young adults with polygenic disorder at the Royal Gwent Hospital to market completion of essential polygenic disorder checks and to market polygenic disorder education. Royal Gwent Hospital, Newport may be a district general hospital supporting nearly a population of half-dozen,60,000. A day was picked and invite was extended via email/post requesting the participants to attend the event. On arrival a pre-session form concerning fifteen diabetic essential checks was requested to be completed. This was to establish the participant's data of those essential checks. This was followed by tiny talks concerning themes relevant to young adults like drinking, sexual health, pre-pregnancy guidance, sick day rules to forestall acidosis, life style and dietary recommendation. The diabetic professionals concerned enclosed consultants, registrars, dieticians, podiatrists, diabetic specialist nurses, polygenic disorder United Kingdom of Great Britain and Northern Ireland volunteers and diabetic nurses operating within the community. A post session form containing an equivalent fifteen diabetic essential checks was requested to be completed to grasp if the participants had understood the importance of those essential diabetic checks and feedback regarding the way to improve the delivery of future events. a complete of twelve patients attended the event. the general satisfaction score with regards to the services being provided was four.5/5. There was a big improvement within the participants understanding of the requirement and importance of all of the essential diabetic check list.
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