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一个专业夏令营对改善1型糖尿病患儿心理健康与血糖控制之间相关性的积极影响。

Positive Impact of a Specialized Summer Camp on the Correlation Between Improved Mental Health and Glycemic Control in Pediatric Type 1 Diabetic Patients.

作者信息

McManus Lauren, Vinson Colby, Patel Dharak, Faichtinger Casey, Yazdani Zakariya, Ray Rikki, Patel Rhadika, Stokell Matthew, Birks Brooke, Gardiner Lesley A, Rocic Petra

机构信息

Departments of Primary Care and Clinical Medicine and Physiology and Pharmacology, College of Osteopathic Medicine, Sam Houston State University, Conroe 77304, Texas, USA.

出版信息

Pediatr Diabetes. 2025 Mar 8;2025:4811222. doi: 10.1155/pedi/4811222. eCollection 2025.

DOI:10.1155/pedi/4811222
PMID:40303940
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12017106/
Abstract

Type 1 diabetes mellitus (T1DM) is associated with an increased risk of mental illness. In recent years, specialized summer camps for children and adolescents with type 1 diabetes have emerged, aimed at normalizing life with diabetes and building skills needed for optimal management of the condition. This project analyzed the effects of one such camp, Camp Sweeney, on glycemic control, physical health, and psychosocial wellbeing of camp attendees (children 5-17, mean age 14.4 years old) and their parents/caregivers. The standard Pediatric Quality of Life Inventory (PedsQL) was modified by the addition of questions pertaining to self-assessment of diabetes management, and questionnaires were distributed to parents and campers to complete at the start of and 2 months after completion of the camp. A total of 14 completed surveys (7 child/camper-parent/caregiver pairs) were collected and analyzed. Self-reported glycemic control (DM management), perceived overall quality of life (wellness), physical wellness, and psychosocial wellness improved after attendance of Camp Sweeney as reported by both campers/children (17.86% DM management, 10.96% overall wellness, 16.25% psychosocial wellness) and their parents/caregivers (16.07% DM management, 14.54% overall wellness, 17.86% psychosocial wellness). Importantly, we established a significant positive correlation between glycemic control (DM management) and overall wellness, psychosocial wellness, and average quality of life (correlation coefficient = 0.92, 0.80, and 0.94, respectively). While previous studies do provide some evidence that these types of camps improve the mental wellbeing of participants, this is the first study to establish a direct correlation between improved mental and psychosocial wellbeing and diabetes management.

摘要

1型糖尿病(T1DM)与精神疾病风险增加有关。近年来,针对1型糖尿病儿童和青少年的专业夏令营应运而生,旨在使糖尿病患者的生活正常化,并培养对该疾病进行最佳管理所需的技能。本项目分析了其中一个名为斯威尼营地(Camp Sweeney)的夏令营对营员(5 - 17岁儿童,平均年龄14.4岁)及其父母/照顾者的血糖控制、身体健康和心理社会幸福感的影响。标准的儿童生活质量量表(PedsQL)通过添加与糖尿病自我管理评估相关的问题进行了修改,并在夏令营开始时和结束后2个月向家长和营员发放问卷以完成填写。共收集并分析了14份完整的调查问卷(7对儿童/营员 - 家长/照顾者)。营员/儿童(糖尿病自我管理改善17.86%,整体幸福感改善10.96%,心理社会幸福感改善16.25%)及其父母/照顾者(糖尿病自我管理改善16.07%,整体幸福感改善14.54%,心理社会幸福感改善17.86%)报告称,参加斯威尼营地后,自我报告的血糖控制(糖尿病管理)、感知的整体生活质量(健康状况)、身体健康和心理社会幸福感均有所改善。重要的是,我们发现血糖控制(糖尿病管理)与整体幸福感、心理社会幸福感和平均生活质量之间存在显著的正相关(相关系数分别为0.92、0.80和0.94)。虽然之前的研究确实提供了一些证据表明这类夏令营能改善参与者的心理健康,但这是第一项建立改善的心理和心理社会幸福感与糖尿病管理之间直接关联的研究。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c38c/12017106/f4994bb3f997/PEDI2025-4811222.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c38c/12017106/f4994bb3f997/PEDI2025-4811222.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c38c/12017106/f4994bb3f997/PEDI2025-4811222.001.jpg

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本文引用的文献

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Front Pediatr. 2021 Mar 10;9:650201. doi: 10.3389/fped.2021.650201. eCollection 2021.
2
Changes in glycated hemoglobin, diabetes knowledge, quality of life, and anxiety in children and adolescents with type 1 diabetes attending summer camps: A systematic review and meta-analysis.夏令营对 1 型糖尿病患儿糖化血红蛋白、糖尿病知识、生活质量和焦虑的影响:系统评价和荟萃分析。
Pediatr Diabetes. 2021 Mar;22(2):124-131. doi: 10.1111/pedi.13147. Epub 2020 Dec 2.
3
Diabetes camp still matters: Relationships with diabetes-specific distress, strengths, and self-care skills.
糖尿病夏令营仍然很重要:与糖尿病特异性困扰、优点和自我护理技能的关系。
Pediatr Diabetes. 2019 May;20(3):353-360. doi: 10.1111/pedi.12836. Epub 2019 Mar 24.
4
Effects of residential summer camp on body mass index and body composition in type 1 diabetes.夏季住宿营对 1 型糖尿病患者体重指数和身体成分的影响。
Pediatr Diabetes. 2018 Jun;19(4):782-787. doi: 10.1111/pedi.12649. Epub 2018 Feb 13.
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Pediatr Diabetes. 2018 Jun;19(4):761-768. doi: 10.1111/pedi.12624. Epub 2017 Dec 15.
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