1型糖尿病患儿自我血糖监测现状及影响因素调查  

Self-monitoring of blood glucose levels in children with type 1 diabetes and its influencing factors

作　　者：顾莺[1] 吴敏[1] 高蔚[1] 张晓蕾[1] 

机构地区：[1]复旦大学附属儿科医院护理部,上海201102

出　　处：《护理学杂志》2010年第5期6-7,共2页

基　　金：复旦大学护理科研基金资助项目(FNF200605)

摘　　要：目的调查1型糖尿病患儿出院后自我血糖管理现状及其影响因素,提高其自我管理能力。方法对68例1型糖尿病患儿进行门诊及电话随访6个月,采用血糖自我管理日记收集资料。结果每个月最多仅2例患儿能做到每天进行自我血糖监测,月监测血糖总例次数由第1个月的997例次下降为第6个月的336例次;3个月及6个月糖化血红蛋白均值分别为(8.93±1.96)%及(8.52±2.05)%;患儿月血糖监测次数与家庭月收入、父母学历呈正相关(均P<0.01),与患儿年龄呈负相关(P<0.01)。结论1型糖尿病患儿出院后血糖自我监测状况不理想,其可能的相关因素为家庭经济状况不佳,父母文化程度较低所导致的对疾病治疗的理解力较差以及青春期患儿的逆反或自卑心理引起的依从性降低。社会、家庭及医护人员均应为提高1型糖尿病患儿自我血糖监测的依从性积极努力。Objective To explore status quo of self-monitoring of blood glucose in discharged children with type 1 diabetes mellitus, and to understand its related factors for promotion of their self-management ability. Methods A 6-month＇s outpatient consultation and telephone follow up program was conducted to 68 children, and the data were collected by using diaries of self-management of blood glucose. Results At most 2 children monitored blood glucose everyday in each month, the total times of monitoring dropped from 997 in the first month to 336 in the 6th month. The mean values of glycohemoglobin were（8.93 ±1. 96）% and （8.52±2.05） % in the 3rd and 6th month respectively. The times of children＇ monitoring showed positive association with monthly family income and parents＇ educational backgrounds, and negatively correlated to children＇s age（P〈0.01 for all）. Conclusion Children＇s self-monitoring of blood glucose is not satisfactory, its possibly related factors are poor economic conditions, lower educational backgrounds of parents and adolescences＇ psychology.

关 键 词：1型糖尿病 患儿 血糖 自我监测 

分 类 号：R473.5[医药卫生—护理学] R478.72[医药卫生—临床医学]