1例1型糖尿病合并神经性厌食青少年患者的护理

doi:10.3761/j.issn.0254-1769.2025.02.016

中华护理杂志 ›› 2025, Vol. 60 ›› Issue (2): 235-239.DOI: 10.3761/j.issn.0254-1769.2025.02.016

1例1型糖尿病合并神经性厌食青少年患者的护理

黄楚贤(), 施忠英, 陈珏, 刘玥()

200025 上海市上海交通大学医学院附属精神卫生中心临床心理科（黄楚贤，陈珏，刘玥），护理部（施忠英）

收稿日期:2024-04-23 出版日期:2025-01-20 发布日期:2025-01-23
通讯作者: 刘玥，E-mail：237535796@qq.com
作者简介:黄楚贤：女，硕士，主管护师，E-mail：hcxsmhc@163.com
基金资助:
上海市护理学会2024年度学会级立项课题(2024QN-B03);上海交通大学医学院护理科研重中之重项目(Jyhz2307);上海市护理学会2025年优秀青年人才育苗计划

Nursing care of a teenager with type 1 diabetes complicated with anorexia nervosa

HUANG Chuxian(), SHI Zhongying, CHEN Jue, LIU Yue()

Received:2024-04-23 Online:2025-01-20 Published:2025-01-23

摘要/Abstract

摘要：

总结1例1型糖尿病合并神经性厌食青少年患者的护理经验。护理要点：加强血糖管理，警惕低血糖和酮症酸中毒;建立规律的进食模式，改善营养状况;落实个性化分级运动方案，减少强迫运动行为;开展分阶段家庭治疗，强化治疗效果;实施以家庭为中心的健康教育，提升疾病管理能力。经多学科团队精心的治疗及护理，患者于住院89 d后好转出院。

关键词: 1型糖尿病, 神经性厌食, 青少年, 护理

Abstract:

To summarize the nursing experience of a case of adolescent type 1 diabetes with anorexia nervosa. The key points of nursing：to strengthen blood glucose management and be vigilant against hypoglycemia and ketoacidosis;to establish a regular eating pattern to improve nutritional status;to implement personalized graded exercise programs to reduce compulsive exercise behaviors;to carry out phased family therapy to enhance treatment effectiveness;to implement family centered health education to enhance disease management capabilities. After careful treatment and care by a multidisciplinary team，the patient recovered well and was discharged smoothly after 89 days of hospitalization.

Key words: Type 1 Diabetes, Anorexia Nervosa, Teenager, Nursing Care

黄楚贤, 施忠英, 陈珏, 刘玥. 1例1型糖尿病合并神经性厌食青少年患者的护理[J]. 中华护理杂志, 2025, 60(2): 235-239.

HUANG Chuxian, SHI Zhongying, CHEN Jue, LIU Yue. Nursing care of a teenager with type 1 diabetes complicated with anorexia nervosa[J]. Chinese Journal of Nursing, 2025, 60(2): 235-239.

图/表 1

参考文献 16

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1例1型糖尿病合并神经性厌食青少年患者的护理

Nursing care of a teenager with type 1 diabetes complicated with anorexia nervosa

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