Chinese Journal of Nursing ›› 2025, Vol. 60 ›› Issue (2): 235-239.DOI: 10.3761/j.issn.0254-1769.2025.02.016

• Rare Disease and Critical Care • Previous Articles     Next Articles

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

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()   

  1. 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)
  • 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

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

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