摘要
目的 结合临床数据分析心理护理在改善儿童糖尿病治疗效果的作用。方法 选取2020年1月-2021年9月在我院诊治的90例儿童糖尿病患者为研究对象,随机分为对照组和心理干预组。对比两组儿童的空腹血糖、餐后血糖、糖化血红蛋白等生理指标以及心理健康程度、课堂学习的教师评价和日常生活的家长满意程度。结果 经过6个月心理护理的心理干预组较于对照组,患儿的空腹血糖和餐后血糖下降程度更加显著且稳定,差异有显著性(p<0.05);心理干预组儿童的抑郁、焦虑等情绪指标评分要远低于对照组(p<0.05);心理干预组患儿的教师和家长对治疗的满意程度要明显高于未经过心理干预的对照组。结论 适当的心理干预可以显著改善儿童糖尿病患者的治疗效果和生活质量,该研究证明了心理干预在儿童糖尿病治疗中不可或缺的作用,具有重要的临床意义。
关键词: 心理干预;儿童糖尿病;治疗效果;心理健康
Abstract
Objective Combined with clinical data to analyze the role of psychological nursing in improving the treatment effect of children with diabetes. Methods: A total of 90 children with diabetes who were diagnosed and treated in our hospital from January 2020 to September 2021 were selected as the research objects and randomly divided into the control group and the psychological intervention group. The physiological indicators such as fasting blood glucose, postprandial blood glucose, glycosylated hemoglobin, as well as mental health, teacher evaluation of classroom learning and parental satisfaction in daily life were compared between the two groups. Results: Compared with the control group, in the psychological intervention group after 6 months of psychological care, the children's fasting blood glucose and postprandial blood glucose decreased more significantly and stable, and the difference was significant (p<0.05). The scores of emotional indicators such as anxiety were much lower than those of the control group (p<0.05); the satisfaction of the teachers and parents of the children in the psychological intervention group was significantly higher than that in the control group without psychological intervention. Conclusion : Appropriate psychological intervention can significantly improve the treatment effect and quality of life of children with diabetes. This study proves the indispensable role of psychological intervention in the treatment of children with diabetes and has important clinical significance.
Key words: Psychological Intervention; Childhood Diabetes; Treatment Effect; Mental Health
参考文献 References
[1] Whitaker RC, Dearth-Wesley T, Herman AN, et al. Association of Childhood Family Connection With Flourishing in Young Adulthood Among Those With Type 1 Diabetes[J]. JAMA Netw Open,2020 ,3(3):e200427.
[2] 何鸯鸯,沈翠珍.1型糖尿病患儿自我管理现状及影响因素分析[J].中华现代护理杂志,2021,24:3288-3292.
[3] 张凝凝,谭玉琴,张利峰.1型糖尿病患儿自我管理行为的研究进展[J].护士进修杂志, 2019,34(12):1111-1115.
[4] Mayer-Davis EJ, Maahs DM, Seid M, et al. Efficacy of the Flexible Lifestyles Empowering Change intervention on metabolic and psychosocial outcomes in adolescents with type 1 diabetes (FLEX): a randomised controlled trial[J]. Lancet Child Adolesc Health, 2018 ,2(9):635-646.
[5] Deschênes SS, Graham E, Kivimäki M, et al. Adverse Childhood Experiences and the Risk of Diabetes: Examining the Roles of Depressive Symptoms and Cardiometabolic Dysregulations in the Whitehall II Cohort Study[J]. Diabetes Care, 2018,41(10):2120-2126.
[6] 宋金晓,刘娟,王兆霞.1型糖尿病患儿父母心理状态的研究进展[J].中华现代护理杂志, 2020,26(23): 3256-3260.
[7] Neu A, Bürger-Büsing J, Danne T, et al. Diagnosis, Therapy and Follow-Up of Diabetes Mellitus in Children and Adolescents. Exp Clin Endocrinol Diabetes. 2019 Dec;127(S 01):S39-S72.
[8] 朱丽丽,徐亚飞,袁梦洋等.儿童及青少年1型糖尿病患者生命质量影响因素的Meta分析[J].中国实用护理杂志, 2020,36(11): 872-881.