家庭为中心的个体化管理在Ⅰ型糖尿病患儿中的应用及效果  

Application of Family-centered Individualized Management in Children with Type 1 Diabetes Mellitus

作　　者：洪颜[1] 诸葛小寅[1] 陈育群[1] 吴丽琴[1] 

机构地区：[1]衢州市人民医院

出　　处：《医院管理论坛》2017年第3期35-37,34,共4页Hospital Management Forum

基　　金：浙江省健康促进项目迪安杯课题;编号:201504

摘　　要：目的观察以家庭为中心的护理和个体化管理在Ⅰ型糖尿病患儿中的应用效果。方法将60例患儿按随机数字表法分为观察组和对照组,对照组32例,观察组28例。对照组给予传统糖尿病护理,观察组在此基础上给予"以家庭为中心的护理"和个体化管理,观察比较两组家庭健康知识掌握情况、家长满意度、患儿糖化血红蛋白值和生活质量。结果两组患儿家庭健康知识掌握情况、患儿糖化血红蛋白数值和生活质量方面比较差异有显著统计学意义(P<0.01),家长满意度情况比较,差异有统计学意义(P<0.05)。结论在Ⅰ型糖尿病患儿中实施"以家庭为中心的护理"模式和个体化管理,可有效帮助控制糖化血红蛋白值,改善患儿生活质量,提高家庭健康知识掌握度和满意度,值得推广应用。Objective To observe the application effect of family-centered care（FCC） and individualized management in children with type 1 diabetes mellitus（T1DM）. Methods A total of 60 children with T1 DM were divided into control group and treatment group with 32 cases and 28 cases respectively. Children in control group received routine diabetes care while children in treatment group received FCC and individualized management besides routine diabetes care. Compared the attained diabetes-related health knowledge, parents＇ satisfaction, Hb Alc and life quality of children between two groups. Results There was statistically significant difference in the attained diabetes-related health knowledge, Hb Alc and life quality between two groups（P〈0.01）. There was also statistical difference in parents＇ satisfaction between two groups（P〈0.05）. Conclusion FCC and individualized management in children with T1 DM can effectively control their Hb Alc, improve their life quality and increase parents＇ diabetesrelated health knowledge as well as parents＇ satisfaction. Therefore, it is worthy of popularization and application.

关 键 词：以家庭为中心的护理 个体化管理 Ⅰ型糖尿病 儿童 

分 类 号：R192.6[医药卫生—卫生事业管理]