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

作　　者：黄楚贤 施忠英[2] 陈珏[1] 刘玥 HUANG Chuxian;SHI Zhongying;CHEN Jue;LIU Yue

机构地区：[1]上海交通大学医学院附属精神卫生中心临床心理科,上海市200025 [2]上海交通大学医学院附属精神卫生中心护理部,上海市200025

出　　处：《中华护理杂志》2025年第2期235-239,共5页Chinese Journal of Nursing

基　　金：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。

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。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.

关 键 词：1型糖尿病 神经性厌食 青少年 护理 

分 类 号：R473[医药卫生—护理学]