Investigation and nursing strategy of the current status of insulin therapy in 450 children with type 1 diabetes mellitus
10.3760/cma.j.issn.1672-7088.2019.07.004
- VernacularTitle:儿童1型糖尿病患者胰岛素治疗现状调查及护理对策
- Author:
Rui WANG
1
;
Di WU
;
Fengting LI
;
Shan SU
;
Jian WANG
;
Yaxing ZENG
Author Information
1. 首都医科大学附属北京儿童医院内分泌遗传代谢病房 100045
- Keywords:
Children;
Diabetes mellitus,type 1;
Insulin;
Health education
- From:
Chinese Journal of Practical Nursing
2019;35(7):497-500
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate in children with type 1 diabetes mellitus and provide evidence for nursing education. Methods From January to December 2016, 450 patients with T1DM were enrolled in this research,all of them were outpatients of diabetes clinic of Beijing Children′s Hospital Affiliated to Capital Medical University. The clinical data of the patients were collected through questionnaires and physical examinations to assess the insulin treatment and related factors. Results Among 450 patients, 221 were males and 229 were females, aged 9.40 (0.83-17.97) years old; body mass index was 17.43 (12.81-28.22) kg/m2; course of disease was 2.32 (0.05-12.89) years; daily insulin dosage was 0.66 (0.11-1.78) IU·kg-1·d-1; glycosylated hemoglobin (HbA1c) was 7.54 (4.4-14.9)%, of which HbA1c<7.5% accounted for 55.8%(251/450). 7.5%-9.0% accounted for 30.0(135/450)% , and >9.0% accounted for 14.2% (64/450). 44.9% ,47.1% ,8.0% (202, 212,36 cases) patients were treated respectively with routine treatment, multiple daily injection or continuous subcutaneous insulin infusion. There was no significant difference in HbA1c between patients with different insulin regimens (P>0.05), but there were significant differences in age, course of disease, body mass index and insulin dosage (P< 0.05). Conclusion Because children with type 1 diabetes have different physiological and psychological characteristics in different stages, the content of health education should be adjusted according to the patient's condition.
