儿童青少年1型糖尿病行为问题危险因素及分析

目的探讨有关儿童青少年1型糖尿病患儿行为问题的影响因素。方法采用Achenbach儿童行为量表中文问卷和自制的影响因素问卷，对205例北京地区1型糖尿病患儿和619例健康对照者进行评定，并使用SPSS10．0统计软件对两组的调查结果进行因素分析。结果①行为问题的检出率：糖尿病患儿检出率为20．0％，与健康对照组(8．2％)比较，糖尿病患儿行为问题检出率高于健康对照组(P=0．000)；②Logistic同归分析显示，与糖尿病患儿行为问题有关的危险因素分别为在农村生活、双亲关系紧张、亲子关系差、缺乏直接感情交流、教育方式不当、对子女了解较少、仅由父母中的一方承担管理子女的责任及血糖控制不良；③将健康对照组与1型糖尿病组综合分析后发现：影响行为问题发生的所有危险因素中，患糖尿病的相对危险度最大。结论1型糖尿病患儿是行为问题发生的高危人群；糖尿病患儿行为问题的发生是多种因素相互作用的结果。

Risk- factor analysis of behavioral problems in children and adolescents with type 1 diabetes

Objective To investigate the risk factors concerned behavioral problems in children and adolescents with type 1 diabetes mellitus.Methods Two hundred and five children and adolescents with type 1 diabetes mellitus and 619 healthy controls were evaluated with the Chinese version of Achenbach Child Behavior Checklist and the self- made questionnaire of risk factors.SPSS software package was used in data analysis. Results (1)Relevance rate of behavioral problems in type 1 diabetes group was 20.2%,two fold significantly higher than that in the control group(8.2%)(P=0.000).(2)Logistic analysis showed that risk factors concerned behavioral problems in diabetic children and adolescents included patients lived in rural areas,poor parents' marital relationship,poor parent- child relation,improper cultural ways,poor communication and understandings between family members,uniparental family and poor control of blood glucose.(3)It was found that diabetes was the most significant risk factor affected the occurrence of behavioral problems among all related factors based on the analytic results in both the type 1 diabetes group and the health group.Conclusions (1)Children and adolescents with type 1 diabetes are the high- risk population who are apt to the occurrence of behavioral problems.(2)A variety of psychological and biological factors are associated with the occurrence of behavioral problems in children and adolescents with type 1 diabetes.