儿童青少年1型糖尿病患者心理韧性水平调查及对血糖控制的影响  

Status quo of psychological resilience level in children and adolescents with type 1 diabetes mellitus and its effect on blood glucose control

作　　者：朱敏[1] 王洪[1] 罗丹 王玉冰[3] 施云[1] 沈敏 顾则娟[4] 林征[4] 徐晶晶[1] Zhu Min;Wang Hong;Luo Dan;Wang Yubing;Shi Yun;Shen Min;Gu Zejuan;Lin Zheng;Xu Jingjing(Department of Endocrinology,the First Affiliated Hospital with Nanjing Medical University,Nanjing 210029,China;School of Nursing,Nanjing University of Chinese Medicine,Nanjing 210023,China;Department of Endocrinology,Children's Hospital of Nanjing Medical University,Nanjing 210008,China;Department of Nursing,the First Affiliated Hospital with Nanjing Medical University,Nanjing 210029,China)

机构地区：[1]南京医科大学第一附属医院内分泌科,南京210029 [2]南京中医药大学护理学院,南京210023 [3]南京市儿童医院内分泌科,南京210008 [4]南京医科大学第一附属医院护理部,南京210029

出　　处：《中华现代护理杂志》2022年第8期1057-1060,共4页Chinese Journal of Modern Nursing

基　　金：江苏省医学创新团队项目(CXTDA2017019)。

摘　　要：目的调查我国儿童青少年1型糖尿病患者的心理韧性水平,并探讨其对血糖控制的影响。方法采用便利抽样法,选择2019年1月—2021年1月南京医科大学第一附属医院、南京市儿童医院儿童青少年1型糖尿病患者200例为研究对象。采用一般资料调查问卷、青少年1型糖尿病优势和韧性测试量表(DSTAR-Teen)、青少年糖尿病行为评定量表(DBRS)调查其心理韧性、自我管理行为水平;同时收集其糖化血红蛋白(HbA1c)值,分析心理韧性水平对其影响。本次调查共发放问卷200份,回收有效问卷196份。结果196例儿童青少年1型糖尿病患者DSTAR-Teen总分为(43.60±8.55)分,DBRS总分为(0.64±0.16)分,HbA1c值为7.2%(6.5%,8.3%)。多重线性回归分析结果显示,心理韧性水平是儿童青少年1型糖尿病患者HbA1c水平的影响因素(P<0.05)。结论本研究中儿童青少年1型糖尿病患者心理韧性水平较高,且可能影响其血糖控制情况。今后建议可实施提高心理韧性水平的干预,以促进患者健康结局的改善。Objective To investigate the psychological resilience level of Chinese children and adolescents with type 1 diabetes mellitus(T1DM)and to explore its influence on glucose sugar control.Methods Using the convenient sampling method,a total of 200 children and adolescents with T1DM in the First Affiliated Hospital of Nanjing Medical University and Nanjing Children's Hospital were selected as research obejcts from January 2019 to January 2021.The general information questionnaire,Diabetes Strengths and Resilience Measure for Adolescents(DSTAR-Teen)and Diabetes Behavior Rating Scale(DBRS)were used to investigate the level of psychological resilience and self-management behavior.And the glycated hemoglobin(HbA1c)value was collected,and analyzed the effect of mental toughness level on it.Results A total of 200 questionnaires were distributed in this survey,and 196 valid questionnaires were recovered.The total score of DSTAR-Teen for 196 children and adolescents with T1DM was(43.60±8.55)and the total score of DBRS was(0.64±0.16),the HbA1c value was 7.2%(6.5%,8.3%).The results of multiple linear regression analysis showed that the level of mental toughness was an influencing factor of HbA1c level in children and adolescents with T1DM(P<0.05).Conclusions In this study,children and adolescents with T1DM have a higher level of psychological resilience,which may affect their blood glucose control.In the future,interventions that increase the level of mental resilience are suggested to be implemented to promote the improvement of health outcomes of patients.

关 键 词：儿童 青少年 糖尿病 1型 心理韧性 血糖控制 

分 类 号：R473.72[医药卫生—护理学]