Saucier C P, Clark L M
Diabetes Educ. 1993 Mar-Apr;19(2):133-5. doi: 10.1177/014572179301900207.
To assess the relationship between insulin-dependent diabetes mellitus (IDDM) self-care management and metabolic control in school-aged children, 21 children ages 10 to 14 years with a duration of IDDM of 5.5 years (range 1 to 13 years) were studied. Self-care was defined as the activities that children with IDDM initiate and perform on their own in the management of their disease. Self-care activity was assessed by a revised Self-Care Questionnaire (SCQ), and metabolic control was determined by HbA1c levels obtained at the same time the SCQ was completed. A higher level of self-care management (higher SCQ) was hypothesized to correlate with better metabolic control (lower HbA1c). Regression analysis of SCQ and HbA1c supported the expected inverse relationship but not at a significant level. The only significant predictors of self-care activity and metabolic control were experience at a specialized camp for children with diabetes and race, with Caucasian children scoring higher in self-care and having lower HbA1c values than African American children.
为评估学龄儿童胰岛素依赖型糖尿病（IDDM）自我护理管理与代谢控制之间的关系，对21名年龄在10至14岁、IDDM病程为5.5年（范围1至13年）的儿童进行了研究。自我护理定义为IDDM儿童在疾病管理中自行发起并执行的活动。通过修订后的自我护理问卷（SCQ）评估自我护理活动，并在完成SCQ的同时通过HbA1c水平确定代谢控制情况。假设更高水平的自我护理管理（更高的SCQ）与更好的代谢控制（更低的HbA1c）相关。SCQ与HbA1c的回归分析支持了预期的反比关系，但未达到显著水平。自我护理活动和代谢控制的唯一显著预测因素是参加糖尿病儿童专门营地的经历和种族，白人儿童在自我护理方面得分更高，且HbA1c值低于非裔美国儿童。
