Status quo of psychological resilience level in children and adolescents with type 1 diabetes mellitus and its effect on blood glucose control
10.3760/cma.j.cn115682-20210424-01804
- VernacularTitle:儿童青少年1型糖尿病患者心理韧性水平调查及对血糖控制的影响
- Author:
Min ZHU
1
;
Hong WANG
;
Dan LUO
;
Yubing WANG
;
Yun SHI
;
Min SHEN
;
Zejuan GU
;
Zheng LIN
;
Jingjing XU
Author Information
1. 南京医科大学第一附属医院内分泌科,南京 210029
- Keywords:
Child;
Adolescents;
Diabetes mellitus, type 1;
Psychological resilience;
Blood glucose control
- From:
Chinese Journal of Modern Nursing
2022;28(8):1057-1060
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the psychological resilience level of Chinese children and adolescents with type 1 diabetes mellitus (T1DM) and to explore its influence on glucose sugar control.Methods:Using the convenient sampling method, a total of 200 children and adolescents with T1DM in the First Affiliated Hospital of Nanjing Medical University and Nanjing Children's Hospital were selected as research obejcts from January 2019 to January 2021. The general information questionnaire, Diabetes Strengths and Resilience Measure for Adolescents (DSTAR-Teen) and Diabetes Behavior Rating Scale (DBRS) were used to investigate the level of psychological resilience and self-management behavior. And the glycated hemoglobin (HbA1c) value was collected, and analyzed the effect of mental toughness level on it.Results:A total of 200 questionnaires were distributed in this survey, and 196 valid questionnaires were recovered. The total score of DSTAR-Teen for 196 children and adolescents with T1DM was (43.60±8.55) and the total score of DBRS was (0.64±0.16) , the HbA1c value was 7.2% (6.5%, 8.3%) . The results of multiple linear regression analysis showed that the level of mental toughness was an influencing factor of HbA1c level in children and adolescents with T1DM ( P<0.05) . Conclusions:In this study, children and adolescents with T1DM have a higher level of psychological resilience, which may affect their blood glucose control. In the future, interventions that increase the level of mental resilience are suggested to be implemented to promote the improvement of health outcomes of patients.