1型糖尿病青少年儿童家庭功能与血糖控制的关系研究  

Investigation on the Relationship of family Function and Glycemic Control in Type 1 Diabetic Children and Adolescents

作　　者：刘媛[1] 申翘璇[1] 黄荧 达颖 徐书杭[1] 张丹毓[1] 楼青青 刘超[1] 

机构地区：[1]中国中医科学院江苏分院南京中医药大学附属江苏省中西医结合医院,南京210028

出　　处：《中国初级卫生保健》2017年第11期41-43,共3页Chinese Primary Health Care

摘　　要：目的以家庭亲密度和适应性与父母教养方式为指标,调查1型糖尿病(T1DM)青少年儿童家庭功能情况,并进一步分析家庭功能与血糖控制的关系。方法本研究共纳入40例1型糖尿病患儿,其中男性9例,女性31例,年龄在11~18岁之间(15.17±2.33)岁。使用家庭亲密度与适应性量表中文版(FACESⅡ-CV)以及父母教养方式评定量表(EMBU)评估T1DM患儿的家庭功能,以糖化血红蛋白(Hb A1c)为血糖控制标准。运用统计学方法,分析家庭功能与血糖控制的关系。结果父母离异的T1DM患儿的血糖控制更差。家庭的适应性与Hb A1c呈现负性相关关系。父母情感温暖、理解以及过度干涉和保护会对血糖控制产生积极的影响。结论 T1DM患儿的血糖控制与家庭功能密切相关,对于家庭功能的强调和维护,应该成为未成年患者长期血糖管理的重要任务之一。OBJECTIVE To investigate the family function by family adaptability and cohesion,as well as parental rearing practice,andthen analyze the relationship between family adaptability and glycemic control.METHODS A total of 40 type 1 diabetic adolescentswere enrolled in the study(male 9,female 31,aged 11 to 18 years,mean age:15.17±2.33 years).Family function was evaluated byFACESⅡ-CV and EMBU.Glycemic control was evaluated by Hb A1 c.Analyze the relationship between family adaptability and glyce-mic control using statistical method.RESULTS The glucose was poorly controlled by the adolescents whose parents had divorced.Fam-ily adaptability and glycemic control had a negative linear relationship.With the parental rearing practice of warm and understanding,the glucose can be well controlled,and same to the excessive interference and protection.CONCLUSION Family function was closelyrelated to glycemic control.It needed to consider the family function as an important part of glycemic control for adolescents.

关 键 词：糖尿病 1型 家庭功能 血糖控制 

分 类 号：R1-9[医药卫生—公共卫生与预防医学]