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。
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.
关键词
1型糖尿病 /
儿童青少年 /
糖尿病营地 /
血糖 /
情绪
Key words
type 1 diabetes mellitus /
children and adolescents /
diabetes camp /
blood glucose /
emotion
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