Abstract:

Objective A systematic evaluation and synthesis of qualitative studies were conducted to examine the experiences of adolescents with Type 1 Diabetes Mellitus（T1DM） transitioning toadult healthcare，providing references for optimizing management protocols for this transition. Methods Systematically searches were conducted in PubMed，Embase，Web of Science，Cochrane Library，Scopus，China Knowledge Network，Wanfang Database，VIP Database and China Biomedical Literature Database for qualitative studies on the transition experience of adolescents with T1DM to adult care. The search period spanned from database inception to May 15，2025. The quality of included studies was assessed using the 2016 Quality Assessment Scale for Qualitative Research from the Centre for Evidence-Based Healthcare at the Joanna Briggs Institute，Australia. Results were synthesized using a meta-synthesis approach. Results 13 studies were included，yielding 51 findings that were categorized into 11 themes and synthesized into 4 integrated findings：complex attitudes toward the transition of healthcare facilities；facing multiple difficulties；expectations for diversified support；perceived benefits of transitioning to adult care. Conclusion The transition experience from pediatric to adult diabetes care for adolescents with T1DM is complex. Healthcare providers should prioritize their emotional well-being，strengthen their proactive willingness to transition，implement personalized multidimensional interventions during the transition period，and establish a comprehensive support system to facilitate a smooth transition from adolescent to adult healthcare.

Key words: Type 1 Diabetes, Adolescents, Transition, Qualitative Research, Meta-Synthesis, Pediatric Nursing

摘要：

目的 系统评价和整合1型糖尿病（type 1 diabetes mellitus，T1DM）青少年向成人医疗过渡体验的质性研究，为优化过渡期管理方案提供参考。方法 系统检索PubMed、Web of Science、Cochrane Library、Embase、Scopus、中国知网、万方数据库、维普数据库、中国生物医学文献数据库中关于T1DM青少年向成人医疗过渡体验的质性研究，检索时限为建库至2025年5月15日。使用澳大利亚乔安娜布里格斯研究所循证卫生保健中心质性研究质量评价标准评价文献质量，采用汇集性Meta整合方法对结果进行整合。结果 共纳入13篇文献，提炼出51个研究结果，归纳为11个类别，综合为4个整合结果：对医疗机构过渡的复杂态度；面临多重困难；期望获得多元化支持；感知向成人医疗过渡的益处。结论 T1DM青少年向成人医疗过渡体验复杂，医护人员应关注其感受，强化主动过渡意愿，开展个性化的过渡期多维干预并构建综合支持体系，以促进青少年向成人医疗的顺利过渡。

关键词: 1型糖尿病, 青少年, 过渡, 质性研究, Meta整合, 儿科护理学