16-25歲第1型糖尿病患轉換期之疾病衝擊與照護趨勢

Type 1 diabetes occurs mostly in children and adolescents. For type 1 diabetes patients in the ＂transition phase＂ between late adolescence and early adulthood, they are exposed to the four transitional impacts caused by development, changes in interpersonal roles, health-illness and the organizational transition from the child-oriented nursing system to the adult-oriented health care system. Moreover, they witness a transformation in their disease management which results in different diabetic control. Literature review suggests that type 1 diabetes at an age between 16 and 25 tends to worsen during the transition phase, thus making the nursing care of this disease even more important. This paper summarizes the key issues concerning type 1 diabetes during the transition phase, which include the impacts of type 1 diabetes during the transition phase, detectable changes during the transition phase, and the nursing care of type 1 diabetes during the transition phase. This paper can contribute to improve nursing care of type 1 diabetes during the transition phase and enhance disease control and better quality of life.