COMING OF AGE WITH DIABETES - PATIENTS VIEWS OF A CLINIC FOR UNDER-25 YEAR OLDS

被引:27
作者
EISER, C
FLYNN, M
GREEN, E
HAVERMANS, T
KIRBY, R
SANDEMAN, D
TOOKE, JE
机构
[1] Department of Psychology, University of Exeter
[2] Diabetes Research Laboratories, Postgraduate Medical School, University of Exeter
关键词
TYPE-1; DIABETES; KNOWLEDGE; ADOLESCENCE;
D O I
10.1111/j.1464-5491.1993.tb00061.x
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
This study is both an evaluation of patients' perceptions of a diabetes clinic for under-25 year olds, and an assessment of experiences in transferring from a paediatric clinic. Sixty-nine patients with Type 1 diabetes (74% of the total clinic), including 41 females, completed evaluations of the clinic and recall of experiences in transfer. Mean age on transferring clinic was 15.9 (range 12-20) years. Paediatricians were perceived to emphasise family and social life, school or work progress; adult physicians tended to stress the risk of long-term complications, importance of exercise and need to-maintain strict levels of glycaemic control. Our data suggest that transition to adult care can generally be achieved non-traumatically, but patients may perceive some difficulty because of different emphases and treatment advice favoured by paediatricians and adult physicians.
引用
收藏
页码:285 / 289
页数:5
相关论文
共 14 条
[1]  
Johnson SB., Adherence behaviors and health status in childhood diabetes, Neurophysiological and Behavioural Aspects of Insulin and Non‐insulin Dependent Diabetes, pp. 30-57, (1990)
[2]  
Schafer LC, Glasgow RE, McCaul KD, Dreher M., Adherence to I.D.D.M. regimes: Relationship to psychosocial variables and metabolic control, Diabetes Care, 6, pp. 494-498, (1983)
[3]  
Tattersall RB, Lowe J., Diabetes in adolescence, Diabetologia, 20, pp. 517-523, (1981)
[4]  
Amiel SA, Sherwing RS, Simonson DC, Lauritano AA, Tamborlane WV, Impaired insulin activity in puberty: A contributing factor to poor glycemic control in adolescents with diabetes, N Engl J Med, 315, pp. 215-219, (1986)
[5]  
Hanson CL, Henggeler SW, Burghen GA, Model of associations between psychosocial variables and health‐outcome measures of adolescents with I.D.D.M, Diabetes Care, 10, pp. 752-758, (1987)
[6]  
Anderson BJ., Diabetes and adaptations in family systems, Neuropsychosocial and Behavioural Aspects of Diabetes, pp. 85-101, (1990)
[7]  
Schidlow DV, Fiel SB, Life beyond pediatrics: Transition of chronically ill adolescents from pediatric to adult health care systems, Med Clin N Amer, 74, pp. 1113-1120, (1990)
[8]  
Salmi J., Huupponen T., Oksa H., Metabolic control in adolescent insulin‐dependent diabetics referred from pediatric to adult clinic, Ann Clin Res, 18, pp. 84-87, (1986)
[9]  
Marteau TM, Baum JD, Doctors' view on diabetes, Arch Dis Child, 59, pp. 566-570, (1984)
[10]  
Cerreto MC, Travis LB, Implications of psychosocial and family factors in the treatment of diabetes, Ped Clin North Amer, 31, pp. 689-690, (1984)