Ebrahimpour Fatemeh, Sadeghi Narges, Najafi Mostafa, Iraj Bijan, Shahrokhi Akram
Department of Nursing, Isfahan (Khorasgan) Branch, Islamic Azad University, Isfahan, IR Iran.
Department of Psychiatry, School of Medicine, Isfahan University of Medical Sciences, Isfahan, IR Iran.
Iran J Pediatr. 2015 Jun;25(3):e427. doi: 10.5812/ijp.25(3)2015.427. Epub 2015 Jun 27.
Diabetic children and their families experience high level stress because of daily insulin injection.
This study was conducted to investigate the impact of an interactive computer game on behavioral distress due to insulin injection among diabetic children.
In this clinical trial, thirty children (3-12 years) with type 1 diabetes who needed daily insulin injection were recruited and allocated randomly into two groups. Children in intervention groups received an interactive computer game and asked to play at home for a week. No special intervention was done for control group. The behavioral distress of groups was assessed before, during and after the intervention by Observational Scale of Behavioral Distress-Revised (OSBD-R).
Repeated measure ANOVA test showed no significantly difference of OSBD-R over time for control group (P = 0.08), but this changes is signification in the study group (P = 0.001). Comparison mean score of distress were significantly different between two groups (P = 0.03).
According to the findings, playing interactive computer game can decrease behavioral distress induced by insulin injection in type 1 diabetic children. It seems this game can be beneficial to be used alongside other interventions.
糖尿病儿童及其家庭因每日注射胰岛素而承受高度压力。
本研究旨在调查一款交互式电脑游戏对糖尿病儿童因注射胰岛素所致行为困扰的影响。
在这项临床试验中，招募了30名需要每日注射胰岛素的1型糖尿病儿童（3至12岁），并将他们随机分为两组。干预组的儿童接受一款交互式电脑游戏，并被要求在家中玩一周。对照组未进行特殊干预。通过修订后的行为困扰观察量表（OSBD-R）在干预前、干预期间和干预后对两组的行为困扰进行评估。
重复测量方差分析测试显示，对照组的OSBD-R随时间无显著差异（P = 0.08），但在研究组中这种变化具有显著性（P = 0.001）。两组之间困扰平均得分的比较有显著差异（P = 0.03）。
根据研究结果，玩交互式电脑游戏可减少1型糖尿病儿童因注射胰岛素引起的行为困扰。看来这款游戏与其他干预措施一起使用可能会有益处。
