1型糖尿病儿童血糖控制及生活质量状况调查

目的 调查1型糖尿病(T1DM)儿童血糖控制与生活质量的状况。方法 随机抽取98例1型糖尿病患儿展开调查,采集患儿血液标本,并使用生存质量测定量表对患儿血糖控制情况与生活质量状况进行评价分析。结果 98例患儿糖化血红蛋白水平为(7.63±1.97)%;T1DM儿童血糖控制情况与年龄、病程、糖尿病饮食、血糖自我监测、糖尿病教育、居住地、经济水平有关;低龄、病程较短、饮食管理、频繁监测血糖水平、接受糖尿病教育均为T1DM儿童良好控制血糖水平的保护因素;血糖控制良好组生活质量量表生理功能、心理社会功能评分与总分显著高于血糖控制不佳组。结论 T1DM儿童血糖控制水平与生活质量有待提高,可通过加强饮食管理、血糖监测与疾病教育等途径提高血糖控制水平进而提高生活质量。

Investigation about blood glucose control and life quality of children with type 1 diabetes mellitus

Objective To investigate the status of blood glucose control and quality of life in children with type 1 diabetes mellitus (T1DM).Methods A total of 98 children with T1DM were randomly selected for investigation,and the blood samples were collected,and the quality of life control and quality of life status were evaluated by the quality of life measurement scale.Results The glycosylated hemoglobin (HbAlc) level of 98 children was (7.63±1.97) %.The blood glucose control of children with T1DM was related to age,disease duration,diabetes diet,blood glucose self-monitoring,diabetes education,place of residence and economic level.Young age,short disease duration,diet control,frequent monitoring of blood glucose level and diabetes education receiving were protective factors for good control of blood glucose level in T1DM children.The scores of physiological function and psychosocial function and the total score in good blood glucose control group were significantly higher than those in poor blood glucose control group.Conclusion Blood glucose control and quality of life can be improved by means of strengthening diet control, blood glucose monitoring, disease education and other ways.