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[教育营结束时胰岛素依赖型糖尿病年轻患者的一些临床、心理情绪和认知方面]

[Some clinical, psycho-emotional and cognitive aspects in insulin- dependent diabetic young patients at the end of educative camps].

作者信息

Petrolini N, Vanelli M, Chiari G, De Fanti A, Boselli E, Cantoni S

机构信息

Policattedra di Pediatria, Università degli Studi di Parma.

出版信息

Minerva Pediatr. 1994 May;46(5):239-43.

PMID:8090142
Abstract

The "campus" represents a good instrument to improve the independence of the child and adolescent with diabetes. What are the expectation of children taking part in it? For them, will it be a vacation or a period of hospitalization? To evaluate these aspects we have studied, in addition to the theoretical and practical knowledge, the emotional life of 53 young diabetics (31 males and 22 females, age 8.1-15.7 years, duration of disease 2 months 10 years, and HbA1c 6.5-12.6%). We observed that 80% of the patients improved the injection technique; we also found an increase of correct answers (from 60% to 73%, x = 3.8, p < 0.05) to a list of questions on different aspects of diabetes asked at the beginning and at the end of the campus. From the drawings collected at the end of the stay, we observed that 78% of the children lived the experience in a playful way, 11% in a medical and 11% in a educational way. It must be pointed out that the children who perceived the educational aspect of the stay were older than the others (11.5 +/- 2 vs. 13.9 +/- 1; p < 0.05). Consequently, we believe that educational programs on diabetes, like the "campus", should be reserved to children older than 12 years of age.

摘要

“校园”活动是提高糖尿病儿童和青少年独立性的一项有益举措。参与其中的孩子们有怎样的期待呢?对他们来说,这会是一次假期还是一段住院时光呢?为评估这些方面,我们除了研究理论和实践知识外,还对53名年轻糖尿病患者(31名男性和22名女性,年龄8.1 - 15.7岁,病程2个月至10年,糖化血红蛋白6.5 - 12.6%)的情感生活进行了研究。我们观察到80%的患者改进了注射技术;我们还发现,针对在“校园”活动开始和结束时就糖尿病不同方面提出的一系列问题,正确答案的比例有所增加(从60%增至73%,x = 3.8,p < 0.05)。从活动结束时收集的画作来看,我们观察到78%的孩子以玩乐的方式体验了这段经历,11%以医疗的方式,11%以教育的方式。必须指出的是,将这段时光视为具有教育意义的孩子比其他孩子年龄更大(11.5 ± 2岁对13.9 ± 1岁;p < 0.05)。因此,我们认为像“校园”这样的糖尿病教育项目应该面向12岁以上的儿童。

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