1型糖尿病儿童自我意识水平及影响因素  

The level of self-awareness and its influencing factors in children with type 1 diabetes

作　　者：刘建丽[1] 杨晓莹[1] 厉红[1] 张雪松[1] LIU Jianli;YANG Xiaoying;LI Hong(Department of Pediatric Endocrinology,Tangshan Maternal and Child Health Hospital,Tangshan 063000,China)

机构地区：[1]唐山市妇幼保健院小儿内分泌科,唐山063000

出　　处：《国际精神病学杂志》2023年第5期1173-1176,共4页Journal Of International Psychiatry

基　　金：河北省医学科学研究课题计划(编号:20201470)。

摘　　要：目的探讨1型糖尿病(T1DM)儿童自我意识水平及影响因素。方法选取我院2020年1月~2022年12月收治的100例T1DM患儿为研究对象,以儿童自我意识量表(PHCSS)评估自我意识水平,按照评分分组,分别为自我意识水平较高组(PHCSS评分>50分)、自我意识水平较低组(PHCSS评分<50分),收集并对比两组一般资料、血糖指标[空腹血糖(FBG)、餐后2h血糖(2hPBG)、糖化血红蛋白(HbA1c)]、Achenbach儿童行为量表(CBCL)、孤独症行为量表(ABC);绘制ROC曲线分析精神心理指标对T1DM患儿自我意识水平的影响,以多因素Logistic回归分析T1DM患儿自我意识水平的影响因素。结果经评估,45例自我意识水平较低,55例自我意识水平较高;自我意识水平较低组CBCL、ABC得分均高于自我意识水平较高组(P<0.05);经ROC分析表明CBCL、ABC能够用于T1DM患儿自我意识水平的评估,曲线下面积为0.818、0.776,P<0.05;多因素Logistic回归分析证实CBCL≥50.20分、ABC≥36.38分是T1DM患儿自我意识水平较低的影响因素。结论T1DM儿童普遍存在自我意识水平较低的情况,且精神、心理水平是影响患儿自我意识水平高低的因素,临床应关注患儿的精神心理情况,并给予相应干预措施。Objective To explore the level of self-awareness and its influencing factors in children with type 1 diabetes mellitus(T1DM).Methods 100 children with T1DM admitted to our hospital from January 2020 to December 2022 were selected to evaluate their self-awareness level using the Children's Self Awareness Scale(PHCSS).They were divided into two groups based on their scores:the group with higher self-awareness level(PHCSS score>50 points)and the group with lower self-awareness level(PHCSS score<50 points).General information was collected and compared between the two groups Blood glucose indicators[fasting blood glucose(FBG),2-hour postprandial blood glucose(2hPBG),glycosylated hemoglobin(HbA1c)],Achenbach Children's Behavior Scale(CBCL),Autism Behavior Scale(ABC).Draw ROC curves to analyze the impact of psychological indicators on the self-awareness level of T1DM children,and use multivariate logistic regression to analyze the influencing factors of self-awareness level in T1DM children.Results 45 cases had low level of self-awareness and 55 cases had high level of self-awareness.The scores of Achenbach Child Behavior Scale(CBCL)and Autism Behavior Scale(ABC)in the low self-awareness group were higher than those in the high self-awareness group(P<0.05).ROC analysis proved that CBCL and ABC could be used to assess the level of self-awareness in children with T1DM,and the areas under the curve were 0.818 and 0.776,P<0.05.Multivariate Logistic regression analysis confirmed that CBCL score≥50.20 and ABC score≥36.38 were the influencing factors for the low level of self-awareness in T1DM children.Conclusion Low level of self-awareness is common in children with T1DM,and the mental and psychological level is the factor that affects the level of selfawareness of children.Clinical attention should be paid to the mental and psychological situation of children,and corresponding intervention measures should be given.

关 键 词：糖尿病 儿童自我意识水平 精神心理 血糖 

分 类 号：R725.8[医药卫生—儿科]