情景模拟营养干预对提高不同年龄糖尿病患儿认知水平的应用  

Application of Scenario Simulation Nutrition Intervention to Improve the Cognitive Level of Children with Diabetes at Different Ages

作　　者：郑玉婷[1] 朱婷燕 付艳芬 孙美华[1] 梁元卿[1] ZHENG Yu-ting;ZHU Ting-yan;FU Yan-fen;SUN Mei-hua;LIANG Yuan-qing(Nursing Department of Kunming Children’s Hospital,Kunming Yunnan 651000;Faculty of Nursing of Dali University,Dali Yunan 671000,China)

机构地区：[1]昆明市儿童医院护理部,云南昆明651000 [2]大理大学护理学院,云南大理671000

出　　处：《昆明医科大学学报》2021年第2期167-172,共6页Journal of Kunming Medical University

基　　金：云南省教育厅科学研究基金资助项目(2020J0225);昆明市科技计划基金资助项目(2017-1-S-15019)。

摘　　要：目的探讨情景模拟营养干预对提高不同年龄糖尿病患儿认知水平的应用。方法选择2018年1月至2019年12月昆明市儿童医院收治的120例学龄期糖尿病患儿为研究对象,分为儿童组和青少年组各60例,分别进行实物模拟、视频模拟和角色模拟三种形式的情景模拟营养干预,并对干预前后两组患者的糖尿病知识认知水平、血糖和三种形式情景模拟的效果进行研究。结果两组糖尿病患儿通过情景模拟营养干预,糖尿病知识认知水平均有所提高,差异有统计学意义(P<0.05),空腹血糖和餐后2 h血糖在出院时和出院6个月较入院时明显降低,差异有统计学意义(P<0.05);在三种形式的情景模拟营养干预中,两组患儿对实物模拟形式接受程度不大,差异无统计学意义(P>0.05),青少年组视频模拟形式接受程度高于儿童组,差异具有统计学意义(P<0.05),儿童组角色模拟形式高于青少年组,差异有统计学意义(P<0.05)。结论情景模拟营养干预有助于提高糖尿病患儿认知水平,能有效控制血糖,促进自我管理能力的养成。在实施情景模拟营养干预过程中,对于青少年组视频示范干预形式更为适用,而儿童组角色模拟干预形式更为适用。只有选择合适的干预方式,才能有效的提高糖尿病患儿的生活质量,减少和延缓合并症的发生和发展,使健康教育达到较好的效果。Objective To explore the application of scenario simulation nutrition intervention to improve the cognitive level of children with diabetes of different ages.Methods From January 2018 to December 2019120 school-age children with diabetes were divided into children group and adolescent group,each consisting of 60 cases.Scenario simulation nutrition intervention was carried out in three forms:physical simulation,video simulation and role simulation.And the effects of cognitive level of children with diabetes,blood glucose and three forms of scenario simulation were studied before and after the intervention.Results The two groups of children with diabetes had improved their knowledge of diabetes through scenario simulation nutrition intervention,and the difference was statistically significant(P<0.05).Fasting blood glucose and 2-hour postprandial blood glucose were significantly lower at the time of discharge and 6 months after discharge than at the time of admission,and the difference was statistically significant(P<0.05).Among the three forms of scenario simulation nutrition intervention,the two groups had little acceptance of the physical simulation form.There was no significant difference between the two groups(P>0.05).The acceptance of video simulation intervention in the adolescent group was higher than that in the child group(P<0.05).The role simulation intervention in the child group was higher than that in the young group(P<0.05).Conclusions The situational nutritional intervention is helpful to improve the cognitive level of children with diabetes,effectively control blood glucose,and promote the development of self-management ability.In the process of implementing situational nutritional intervention,video demonstration intervention is more suitable for the youth group,while role simulation intervention is more suitable for the children group.Only by choosing the right way of nutritional intervention can we effectively improve the quality of life of children with diabetes.

关 键 词：情景模拟 营养干预 儿童糖尿病 

分 类 号：R587.1[医药卫生—内分泌]