2型糖尿病患者心理性胰岛素抵抗的研究进展  

Research progress of psychological insulin resistance in patients with type 2 diabetes mellitus

作　　者：管爱君 曾冬阳 王丹心 谭绍英 蔡鑫 江美婷 Guan Aijun;Zeng Dongyang;Wang Danxin;Tan Shaoying;Cai Xin;Jiang Meiting(School of International Nursing,Hainan Medical University,Haikou 571199,China;Department of Nursing,First Affiliated Hospital of Hainan Medical University,Haikou 570105,China)

机构地区：[1]海南医科大学国际护理学院,海口571199 [2]海南医科大学第一附属医院护理部,海口570105

出　　处：《中华老年多器官疾病杂志》2025年第4期309-312,共4页Chinese Journal of Multiple Organ Diseases in the Elderly

基　　金：海南省自然科学基金(822RC692)。

摘　　要：心理性胰岛素抵抗可导致患者对胰岛素治疗的拒绝或不合作,从而加剧病情进展,识别和解决心理性胰岛素抵抗对于提高2型糖尿病患者的治疗效果和生活质量至关重要。本文从心理性胰岛素抵抗的概念、现状、影响因素以及评测工具和干预措施方面进行综述,旨在提高临床对其重要性的认识,优化血糖管理,减少并发症的发生,为改善2型糖尿病患者的治疗效果和生活质量提供理论依据。Psychological insulin resistance may cause refuse or nonadherence to insulin therapy in patients with type 2 diabetes mellitus(T2DM),which leading to exacerbation of the condition.Recognizing and addressing psychological insulin resistance is crucial for improving treatment adherence and enhancing the quality of life in the patients.In this article,we provided a comprehensive review on the concept,current status,and influencing factors of psychological insulin resistance,as well as evaluation tools and intervention measures.We aimed at raising clinical awareness of its significance,optimizing blood glucose control,and reducing the incidence of complications in order to provide a theoretical framework for enhancing therapeutic efficacy and quality of life among T2DM patients.

关 键 词：2型糖尿病 心理性胰岛素抵抗 治疗依从性 生活质量 

分 类 号：R587.1[医药卫生—内分泌]