延迟折扣对糖尿病患者自我管理行为影响的范围综述  

The impact of delay discounting on self-management behaviors in patients with diabetes:a scoping review

作　　者：巩璐 王艳红[1] 牟成华[2] 姚嘉瑞 张欣[1] 李琦[3] 杨震滔 王雨[1] 王瑞瑞 Gong Lu;Wang Yanhong;Mou Chenghua;Yao Jiarui;Zhang Xin;Li Qi;Yang Zhentao;Wang Yu;Wang Ruirui(School of Nursing,Lanzhou University,Lanzhou 730011,China)

机构地区：[1]兰州大学护理学院,甘肃兰州730011 [2]兰州大学第二医院 [3]兰州大学第一医院

出　　处：《护理学杂志》2025年第3期109-113,共5页Journal of Nursing Science

基　　金：国家自然科学基金资助项目(71804064)。

摘　　要：目的 探讨延迟折扣对糖尿病患者自我管理行为的影响,为医护人员开展相关研究及护理干预提供参考。方法 以JBI范围综述指南为方法学框架,检索Web of Science、PubMed、Embase、CINAHL、Cochrane Library、中国知网、万方数据知识服务平台、中国生物医学文献数据库中的相关研究,检索时限为建库至2024年7月1日。结果 共纳入14篇文献。研究结果显示,延迟折扣水平高的患者,服药依从性差、容易出现饮食行为失调、自我血糖监测频率较低、身体活动水平较低及足部护理意识较差,导致糖化血红蛋值越高。结论 糖尿病患者延迟折扣水平越高,其自我管理行为越差,血糖管理结局越差。需针对糖尿病患者不同的健康行为及延迟折扣率采取相应的干预措施,以提升糖尿病患者自我管理能力,防止并发症发生。Objective To explore the influence of delay discounting on self-management behaviors in diabetic patients,so as to provide a reference for medical professionals conducting related research and nursing interventions.Methods Using the JBI Scope Review Guidelines as the methodological framework,we searched relevant studies across several databases,including Web of Science,PubMed,Embase,CINAHL,Cochrane Library,China National Knowledge Infrastructure,Wanfang Data Knowledge Service Platform,and the Chinese Biomedical Literature Database.The search period was from database inception to July 1,2024.Results A total of 14 articles were included,the findings of which indicated that patients exhibiting high delay discounting were more likely to have poor medication compliance,experience eating disorder,monitor blood glucose with a lower frequency,maintain reduced physical activity,and possess inadequate awareness of foot care,contributing to elevated glycosylated hemoglobin.Conclusion In patients with diabetes,greater delay discounting is associated with poorer self-management behaviors and blood glucose management outcomes.It is necessary to implement tailored strategies according to varying health behaviors and delay discount rates among diabetic patients,in order to improve their self-management ability and prevent complications.

关 键 词：糖尿病 延迟折扣 自我管理行为 服药依从性 饮食行为 自我血糖监测 足部护理 范围综述 

分 类 号：R473.5[医药卫生—护理学]