糖尿病营地活动对1型糖尿病儿童青少年血糖水平和情绪的影响

doi:10.11852/zgetbjzz2023-0041

中国儿童保健杂志 ›› 2023, Vol. 31 ›› Issue (12): 1375-1379.DOI: 10.11852/zgetbjzz2023-0041

糖尿病营地活动对1型糖尿病儿童青少年血糖水平和情绪的影响

王丽娜¹, 田飞¹, 冯雪英², 陈志红¹

1.青岛大学附属医院儿童内分泌代谢消化科,山东青岛 266000;
2.青岛大学附属医院儿童保健科

收稿日期:2023-01-31 修回日期:2023-05-24 发布日期:2023-12-04 出版日期:2023-12-10
通讯作者: :陈志红,E-mail:chchch96@sina.com
作者简介:王丽娜(1994-),女,山东人,硕士研究生,主要研究方向为儿童内分泌与遗传代谢。

Influence of diabetes camp on blood glucose levels and emotion in children and adolescents with type 1 diabetes mellitus

WANG Lina¹, TIAN Fei¹, FENG Xueying², CHEN Zhihong¹

1. Endocrine Metabolism Digestive Department, Affiliated Hospital of Qingdao University, Qingdao, Shandong 266000, China;
2. Department of Child Healthcare, Affiliated Hospital of Qingdao University

Received:2023-01-31 Revised:2023-05-24 Online:2023-12-10 Published:2023-12-04
Contact: CHEN Zhihong, E-mail:chchch96@sina.com

摘要/Abstract

摘要： 目的研究糖尿病营地活动对1型糖尿病(T1DM)儿童青少年血糖水平及情绪的影响,以期为糖尿病营地活动的更好发展提供依据。方法选取青岛大学附属医院儿童内分泌代谢消化科长期随访的72例T1DM儿童青少年为研究对象,分为参加过糖尿病营地活动和未参加过糖尿病营地活动两组。检测最近一次的糖化血红蛋白(HbA1c)水平,采用儿童抑郁障碍自评量表(DSRS)和儿童焦虑性情绪障碍筛查表(SCARED)评估T1DM儿童青少年情绪状况。比较两组间血糖、抑郁和焦虑的情况,以及参加营地活动的次数与抑郁和焦虑的相关性。结果 T1DM儿童青少年HbA1c[(7.481±1.331)%]达到良好水平, 参加过糖尿病营地活动组明显低于未参加过糖尿病营地活动组[(7.146±1.265)% vs. (7.797±1.331)%,t=2.127,P=0.037];参加过糖尿病营地活动组儿童青少年抑郁检出率低于未参加过糖尿病营地活动组(20.0% vs.43.2%,χ²=4.470,P=0.035);两组儿童青少年焦虑检出率差异无统计学意义(14.3% vs.24.3%,χ²=1.157,P=0.282)。参加营地活动的次数越多,T1DM儿童青少年抑郁的发生风险越低(OR=0.417,P=0.004),与焦虑的发生无相关性(P=0.231)。结论糖尿病营地活动可以改善T1DM儿童青少年的血糖水平、减少抑郁,并且参加营地活动的次数越多,发生抑郁的几率越低。

关键词: 1型糖尿病, 儿童青少年, 糖尿病营地, 血糖, 情绪

Abstract: Objective To analyze the influence of diabetes camp on blood glucose levels and emotion in children and adolescents with type 1 diabetes mellitus (T1DM). Methods A total of 72 children and adolescents with T1DM were selected into this study from Endocrine Metabolism Digestive Department,Affiliated Hospital of Qingdao University, and were divide into two groups according to whether they have participated in diabetes camp or not. The latest glycated hemoglobin A 1c(HbA1c) level was tested. The emotional status of children and adolescents with T1DM was evaluated by Depression Self-rating Scale for Children (DSRS) and the Screen for Child Anxiety Related Emotional Disorders (SCARED). The blood glucose levels, depression and anxiety rates of the two groups were compared. The correlations of the number of diabetes camps with depression and anxiety were analyzed. Results The average HbA1c level of T1DM group was at an optimal level [(7.481±1.331)%]. The average HbA1c level in children who have participated in diabetes camp was significantly lower than that in children who have not participated in diabetes camp before [(7.146±1.265)% vs. (7.797±1.331)%, t=2.127, P=0.037]. The detection rate of depression in children who have participated in diabetes camp was significantly lower than that in children who have not participated in diabetes camp before (20.0% vs. 43.2%, χ²=4.470, P=0.035). Concerning the detection rate of anxiety in children and adolescents, there was no significant difference between the two groups(14.3% vs. 24.3%, χ²=1.157, P=0.282). The number of diabetes camps was negatively correlated with the depression in children and adolescents with T1DM (OR=0.417,P=0.004),but no correlation with anxiety (P=0.231). Conclusions Diabetes camp can improve blood glucose levels and reduce the depression in the children and adolescents with T1DM.The more chidren participate in the diabetes camp, the less likely children are to experience depression.

Key words: type 1 diabetes mellitus, children and adolescents, diabetes camp, blood glucose, emotion

中图分类号:

R725.8

王丽娜, 田飞, 冯雪英, 陈志红. 糖尿病营地活动对1型糖尿病儿童青少年血糖水平和情绪的影响[J]. 中国儿童保健杂志, 2023, 31(12): 1375-1379.

WANG Lina, TIAN Fei, FENG Xueying, CHEN Zhihong. Influence of diabetes camp on blood glucose levels and emotion in children and adolescents with type 1 diabetes mellitus[J]. Chinese Journal of Child Health Care, 2023, 31(12): 1375-1379.

参考文献

[1] 静进.儿童青少年情绪障碍及其对策[J].中国学校卫生,2010, 31(11):1281-1283.
Jing J. Emotional disorder of children and adolescents and its counter measures[J].Chin J Sch Health, 2010, 31(11):1281-1283.(in Chinese)
[2] Weng J, Zhou Z, Guo L,et al.Incidence of type 1 diabetes in China, 2010-13:Population based study[J]. BMJ, 2018,360:j5295. doi:10.1136/bmj.j5295
[3] Wang YC, Stewart S, Tuli E, et al. Improved glycemic control in adolescents with type 1 diabetes mellitus who attend diabetes camp[J]. Pediatr Diabetes, 2008,9(1):29-34.
[4] Carlson KT, Carlson GW, Tolbert L,et al. Blood glucose levels in children with Type 1 diabetes attending a residential diabetes camp:A 2-year review[J]. Diabet Med,2013,30(3):123-126.
[5] Weissberg-Benchell J, Vesco AT, Rychlik K. Diabetes camp still matters:Relationships with diabetes-specific distress, strengths, and self-care skills[J]. Pediatr Diabetes, 2019,20(3):353-360.
[6] 中华医学会儿科学分会内分泌遗传代谢学组,中华儿科杂志编辑委员会.中国儿童1型糖尿病标准化诊断与治疗专家共识(2020版)[J].中华儿科杂志, 2020, 58(6):447-454.
Chinese Society of Pediatric Endocrinology and Metabolism,Editorial Committee of Chinese Journal of Pediatrics.Expert consensus on standardized diagnosis and treatment of type 1 diabetes in children in China (2020)[J].Chin J Pediatr,2020, 58(6):447-454. (in Chinese)
[7] 苏林雁,王凯,朱焱,等.儿童抑郁障碍自评量表的中国城市常模[J].中国心理卫生杂志,2003,11(8):547-549.
Su LY,Wang K,Zhu Y,et al.The Chinese urban norm of Depression Self-rating Scale for Children[J]. Chinese Mental Health Journal,2003,11(8):547-549. (in Chinese)
[8] 王凯,苏林雁,朱焱,等.儿童焦虑性情绪障碍筛查表的中国城市常模[J].中国临床心理学杂志,2002,10(4):270-272.
Wang K,Su LY,Zhu Y,et al. The Chinese urban norm of The Screen for Child Anxiety Related Emotional Disorders[J].Chin J Clin Psychol,2002,10(4):270-272. (in Chinese)
[9] Rewers M, Pihoker C, Donaghue K, et al. Assessment and monitoring of glycemic control in children and adolescents with diabetes[J]. Pediatr Diabetes, 2007,8(6):408-418.
[10] 秦淼,巩纯秀,曹冰燕,等.2015至2019年儿童1型糖尿病血糖控制管理现状调查及相关因素分析[J].中华糖尿病杂志,2021,13(5):462-469.
Qin M,Gong CX,Cao BY,et al.Investigation on current situation of blood glucose control and management in children with type 1 diabetes from 2015 to 2019 and analysis of related factors[J].Chin J Diabetes Mellitus,2021,13(5):462-469. (in Chinese)
[11] 朱敏,王洪,罗丹,等.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[J].中华现代护理杂志,2022,28(8):1057-1060.
Zhu M, Wang H, Luo D et al. Investigation on psychological resilience of children and adolescents with type 1 diabetes and its influence on blood glucose control[J]. Chin J Modern Nurs,2022,28(8):1057-1060. (in Chinese)
[12] Chiang JL, Maahs DM, Garvey KC, et al. Type 1diabetes in children and adolescents:A position statement by the american diabetes association[J]. Diabetes Care, 2018,41(9):2026-2044.
[13] Nabors LA, Kichler JC, Burbage ML,et al. Children's learning and goal-setting at a diabetes camp[J]. Diabetes Spectr, 2014,27(4):257-263.
[14] Santiprabhob J, Likitmaskul S, Kiattisakthavee P, et al. Glycemic control and the psychosocial benefits gained by patients with type 1 diabetes mellitus attending the diabetes camp[J]. Patient Educ Couns, 2008,73(1):60-66.
[15] American Diabetes Association. Diabetes management at camps for children with diabetes[J]. Diabetes Care, 2012,35 (Suppl 1):72-75.
[16] Hasan I, Chowdhury ABMA, Haque MI, et al. Changes in glycated hemoglobin, diabetes knowledge, quality of life, and anxiety in children and adolescents with type 1 diabetes attending summer camps:A systematic review and meta-analysis[J]. Pediatr Diabetes, 2021,22(2):124-131.
[17] García-Pérez L, Perestelo-Pérez L, Serrano-Aguilar P, et al. Effectiveness of a psychoeducative intervention in a summer camp for children with type 1 diabetes mellitus[J]. Diabetes Educ, 2010,36(2):310-317.
[18] 刘蔚,蔡晓凌,张明霞,等.1型糖尿病夏令营:COVID-19大流行期间1型糖尿病新型管理模式尝试与探索[J].中国糖尿病杂志,2021,29(11):877-880.
Liu W, Cai XL, Zhang MX, et al. Summer camp for type 1 diabetes:The attempt and exploration of a new management model for type 1 diabetes during the COVID-19 pandemic[J].Chinese Journal of Diabetes,2021,29(11):877-880.(in Chinese)

糖尿病营地活动对1型糖尿病儿童青少年血糖水平和情绪的影响

Influence of diabetes camp on blood glucose levels and emotion in children and adolescents with type 1 diabetes mellitus

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