Betschart J
Childrens' Hospital of Pittsburgh, PA.
Nurs Clin North Am. 1993 Mar;28(1):35-44.
IDDM in children and adolescents requires that complex daily management skills be learned by children and their families. Insulin administration, nutrition therapy, and daily monitoring place the burden of self-management on parents and children, who already may be stressed. The unrelenting care required to observe and treat young children produces anxiety in parents whose children are potentially poised between hypoglycemia and DKA. Health care professionals must understand the dynamic nature of childhood diabetes and not underestimate the impact on specific developmental levels or the amount of support and education required.
儿童和青少年的胰岛素依赖型糖尿病要求儿童及其家庭学会复杂的日常管理技能。胰岛素注射、营养治疗和日常监测将自我管理的负担加在了可能已经压力重重的父母和孩子身上。观察和治疗幼儿所需的不间断护理让那些孩子可能在低血糖和糖尿病酮症酸中毒之间徘徊的父母产生焦虑。医疗保健专业人员必须了解儿童糖尿病的动态本质，不要低估其对特定发育水平的影响或所需的支持与教育量。
