Métroz-Dayer M D, Roulet E
Division de diabétologie expérimentale et de biochimie clinique, Centre médical universitaire, Genève.
Schweiz Med Wochenschr. 1990 Jan 20;120(3):66-71.
Patient education plays a key role in diabetes care, and summer camps have been shown to be of value in teaching diabetic children. In our camps, we have shown that education significantly improves knowledge of diabetes in both 6-11 and 12-16 year old children. This increased knowledge was retained for at least one year in both age groups. We show that structured age group education associated with individualized teaching was more efficient in enhancing diabetes knowledge than individualized education alone. Camp attendance also significantly improved the children's self-management at home. We show a strong correlation between the degree of diabetes knowledge and autonomy (r = 0.82) which was independent of both the children's age and duration of diabetes. The lack of a strong correlation between the improved metabolic control assessed 3 months after camp (p less than 0.05), and either increased knowledge and/or autonomy in the children tested, confirms that other factors influence their adaptation to diabetes. In conclusion, camps whose teaching staff is well trained in educational methods are of value in enhancing both the diabetes knowledge and self-management of children as young as 6 years of age, and/or of children whose diabetes is of recent onset, and may therefore be helpful in improving their coping processes.
患者教育在糖尿病护理中起着关键作用，并且夏令营已被证明在教导糖尿病儿童方面具有价值。在我们的夏令营中，我们已经表明，教育显著提高了6至11岁以及12至16岁儿童对糖尿病的认识。在这两个年龄组中，这种增加的知识至少保留了一年。我们表明，与个性化教学相结合的结构化年龄组教育在增强糖尿病知识方面比单纯的个性化教育更有效。参加夏令营还显著改善了孩子们在家中的自我管理。我们发现糖尿病知识程度与自主性之间存在很强的相关性（r = 0.82），这与孩子的年龄和糖尿病病程均无关。夏令营结束3个月后评估的改善后的代谢控制与受试儿童增加的知识和/或自主性之间缺乏强相关性（p小于0.05），这证实了其他因素会影响他们对糖尿病的适应。总之，其教学人员在教育方法方面受过良好培训的夏令营，对于提高年仅6岁的儿童和/或糖尿病发病较晚的儿童的糖尿病知识和自我管理能力具有价值，因此可能有助于改善他们应对疾病的过程。
