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糖尿病儿童及青少年家长对低血糖的恐惧:是适应不良还是健康反应?

Fear of hypoglycemia in the parents of children and adolescents with diabetes: maladaptive or healthy response?

作者信息

Marrero D G, Guare J C, Vandagriff J L, Fineberg N S

机构信息

The Department of Medicine, Diabetes Research and Training Center, Indiana University School of Medicine, Indianapolis (Dr Mar­rero)

The Department of Psychology, Indiana University-Purdue Uni­versity Indianapolis ( Dr Guare)

出版信息

Diabetes Educ. 1997 May-Jun;23(3):281-6. doi: 10.1177/014572179702300306.

DOI:10.1177/014572179702300306
PMID:9257618
Abstract

Sixty-one parents of children with insulin-dependent diabetes mellitus completed modified versions of the Hypoglycemic Fear Survey (HFS) and the Diabetes Quality of Life (DQOL) scale. They also indicated their child's history of hypoglycemic-related seizures or loss of consciousness (SLC) events. Parental HFS scores were significantly greater if their child had ever experienced a SLC event or experienced a SLC event within the past year. Parental HFS scores were positively correlated with general parental worry about their child having diabetes. Adolescent children who experienced a SLC event during the past year reported greater HFS scores, greater general worry about diabetes, and a greater negative impact of having diabetes compared with adolescents with no such history. Despite the greater fear of hypoglycemia in parents and adolescents, there was no significant difference in HbA1 values between children with or without any history of SLC events or children with or without a SLC event within the past year.

摘要

61位患有胰岛素依赖型糖尿病儿童的家长完成了低血糖恐惧调查问卷(HFS)和糖尿病生活质量(DQOL)量表的修订版。他们还指出了孩子与低血糖相关的癫痫发作或意识丧失(SLC)事件的病史。如果孩子曾经历过SLC事件或在过去一年内经历过SLC事件,家长的HFS得分会显著更高。家长的HFS得分与家长对孩子患糖尿病的总体担忧呈正相关。与没有此类病史的青少年相比,在过去一年中经历过SLC事件的青少年儿童报告的HFS得分更高,对糖尿病的总体担忧更大,以及患糖尿病带来的负面影响更大。尽管家长和青少年对低血糖的恐惧更大,但在有或没有任何SLC事件病史的儿童之间,以及在过去一年中有或没有SLC事件的儿童之间,糖化血红蛋白(HbA1)值没有显著差异。

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