关键词: 1型糖尿病, 心理行为双维度, 趣味诱导, 血糖, 饮食依从性, 儿童

Abstract:

Objective　To explore the effects of dual-dimensional psychological-behavioral interest-inducing nursing on the blood glucose levels and dietary compliance of preschool children with type 1 diabetes. Methods　A prospective study was adopted. A total of 104 preschool children with type 1 diabetes who were admitted to Henan Children's Hospital from November 2022 to November 2024 were selected. They were randomly divided into a conventional group and a research group, with 52 cases in each group. The research group had 30 males and 22 females, with an age of (4.79±1.12) years and a disease duration of (8.04±2.39) months; They received dual-dimensional fun-inducing psychological and behavioral nursing. The control group had 28 males and 24 females, with an age of (4.72±1.05) years and a disease duration of (7.89±1.78) months; They received routine care. The blood glucose levels and dietary compliance before and after the intervention were compared between the two groups. The Self-Rating Anxiety Scale (SAS) and the Self-Rating Depression Scale (SDS) were used to assess the psychological state of the main caregivers. The burden level of the main caregivers was evaluated using the Chinese version of the Caregiver Burden Inventory (CBI). Statistical methods employed t-test and χ² test. Results　After the intervention, the fasting blood glucose (FBG), glycosylated hemoglobin (HbA1c), and 2-hour postprandial blood glucose (2 hPG) in the study group were all lower than those in the control group [(5.04±0.87) mmol/L vs. (6.41±0.66) mmol/L, (6.29±0.89)% vs. (7.20±0.75)%, and (6.31±1.22) mmol/L vs. (7.43±1.07) mmol/L], and the differences were statistically significant (t=9.047, 5.638, and 4.977; all P<0.05). The dietary compliance scores of the research group were all higher than those of the control group (all P<0.05). The SAS and SDS scores of the research group were both lower than those of the control group [(41.65±5.19) points vs. (45.93±3.65) points and (40.02±4.31) points vs. (44.61±6.10) points], and the differences were statistically significant (t=4.864 and 4.432; both P<0.05). The CBI score of the research group was lower than that of the control group [(40.51±5.13) points vs. (46.78±7.06) points], and the difference was statistically significant (t=5.181, P<0.05). Conclusion　The dual-dimensional psychological-behavioral interest-inducing nursing method can not only effectively improve the blood glucose levels of children with type 1 diabetes and enhance their dietary compliance, but also alleviate the negative emotions of the main caregivers and reduce the burden of care.

Key words: Type 1 diabetes, Psychological behavior dual dimension, Interest induction, Blood glucose, Dietary compliance, Child