Биопсихосоциални детерминанти на гликемичния контрол и микроциркулаторното здраве: Интердисциплинарен подход
П. Митева
, А. Александрова-Караманова
, Н. Антонова
, Е. Димитрова
Abstract: Цел: Да се опише теоретичен модел на биопсихосоциалните детерминанти на самоуправлението на диабета и микроциркулаторното здраве.
Материали и методи: Това е теоретично изследване, базирано на преглед и анализ на биомедицинската и психологическата литература за диабета, неговите хронични ефекти и усложнения, както и детерминантите на самоуправлението на диабета и микроциркулаторното здраве.
Резултати: Идентифицирани са основните психосоциални фактори, свързани с диабета. Предложен е биопсихосоциален модел за самоуправление на диабета и микроциркулаторното здраве, който включва биомедицински (тип диабет, време от поставянето на диагнозата, тип и тежест на усложненията, съпътстващи заболявания), психологически (стрес, свързан с диабета, депресия, тревожност, тип D личност, стилове на справяне, самооценка за ефективност) и социални фактори (социална подкрепа, стресори от околната среда, социално-икономически статус, достъп до медицински услуги) като детерминанти на самоуправлението на диабета (мониторинг на кръвната захар, диета, физическа активност, контрол на теглото, придържане към медикаментозно лечение, посещения при лекар), които предсказват активността на периферната микроциркулация (ендотелна функция и вазодилация).
Дискусия: Въз основа на предложения модел се планира емпирично интердисциплинарно изследване и разработване на прототип на неинвазивна персонализирана домашна система за мониторинг и прогнозиране на усложненията в периферната съдова система.
Заключение: Интердисциплинарният биомедицински и психологически подход има потенциал да интегрира и адресира най-важните детерминанти, свързани с диабета, за да подкрепи ефективното самоуправление, превенцията и смекчаването на усложненията, чрез разработване на персонализирани и достъпни дигитални решения.
Keywords: биопсихосоциален модел; диабет; платформа за дигитално самоуправление; гликемичен контрол; микроциркулация
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| Date published: 2024-12-11
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