摘要
目的探讨学龄前1型糖尿病儿童家庭功能的现状及影响因素。方法选取郑州大学附属儿童医院内分泌遗传代谢科于2017年2月至2020年2月收治的124例学龄前(3~6岁,男66例,女58例)1型糖尿病患儿及其主要照顾者,按家庭功能程度差异分为家庭功能较佳组和家庭功能较差组,收集两组患儿家属人口学资料、临床指标及相关量表评分,分析1型糖尿病儿童家庭功能现状,行单因素、多因素logistic回归分析家庭功能影响因素。统计学方法采用t检验、χ^(2)检验。结果124例学龄前1型糖尿病儿童整体家庭功能评定量表(FAD)评分为(108.24±10.23)分,其中,≤120分84例,>120分40例,家庭功能较佳占比达67.74%(84/124);除性别、年龄、居住地址、家族遗传史外,两组文化程度、婚姻状况、家庭月收入、医保情况、空腹血糖(FBG)、餐后2 h血糖(2 h PBG)及糖化血红蛋白(HbA1c)、家庭亲密度和适应性量表(FACSⅡ-CV)、焦虑自评量表(SAS)、抑郁自评量表(SDS)比较,差异均有统计学意义(χ^(2)=5.560、9.804、2.698、6.483,t=5.048、7.469、3.495、5.386、7.482、7.220,均P<0.05);经logistic回归模型多因素分析,婚姻状况、家庭月收入、HbA1c、FACSⅡ-CV、SAS、SDS均为学龄前1型糖尿病儿童家庭功能独立影响因素。结论学龄前1型糖尿病儿童家庭功能现状较为薄弱,尚有待改进,而影响因素主要归咎于婚姻关系、家庭月收入、血糖控制情况、亲子间亲密度与适应性以及家属焦虑、抑郁程度,可着力于患儿家属心理问题解决、血糖控制强化等方面提升家庭功能,以使患儿得到更好的照顾。
Objective To investigate the status and influencing factors of family function in preschool children with type 1 diabetes mellitus.Methods One hundred and twenty-four preschool children with type 1 diabetes mellitus who were 3-6 years old and were treated at Department of Endocrinology,Genetics,and Metabolism,Children's Hospital,Zhengzhou University from February 2017 to February 2020,including 66 boys and 58 girls,and their main caregivers were selected.According to the family function,they were divided into a good family function group and a poor family function group.The demographic data,clinical indicators,and related scale scores of the family members of the two groups were collected.The children's status quo of family function was analyzed.Univariate and multivariate logistic regression analyses were conducted to analyze the factors affecting family function.t andχ^(2) tests were applied.Results The overall score of Family Assessment Device (FAD) in the 124 preschool children was (108.24±10.23);84 children's FADscore ≤ 120;the other 40 children's >120;67.74% (84/124) had good family function. There wereno statistical differences in gender, age, residential address, and family genetic history but were ineducation level, marital status, family monthly income, medical insurance, fasting blood glucose(FBG), two hours postprandial blood glucose (2hPBG), glycosylated hemoglobin (HbA1c), FamilyAdaptability and Cohesion Evaluation Scale (FACS Ⅱ -CV), Self-rating Anxiety Scale (SAS), andSelf-rating Depression Scale (SDS) between the two groups (χ^(2)=5.560, 9.804, 2.698, and 6.483;t=5.048, 7.469, 3.495, 5.386, 7.482, and 7.220;all P<0.05). Logistic regression model showed thatmarital status, family monthly income, HbA1c, FACS Ⅱ -CV, SAS, and SDS were independentinfluencing factors of family function in the preschool children. Conclusions The status quo offamily function of preschool children with type 1 diabetes mellitus is relatively weak and needs to beimproved. The influencing factors are mainly attribut
作者
王秋丽
罗路路
曹玉琴
李静
Wang Qiuli;Luo Lulu;Cao Yuqin;Li Jing(Department of Endocrinology,Genetics,and Metabolism,Children's Hospital,Zhengzhou University,Zhengzhou 450000,China)
出处
《国际医药卫生导报》
2023年第2期212-216,共5页
International Medicine and Health Guidance News
基金
河南省医学科技攻关重点项目(LHGJ20190900)。
关键词
1型糖尿病
学龄前
家庭功能
影响因素
Type 1 diabetes mellitus
Preschool age
Family function
Influencing factors
