Influence of specialized games on negative emotions and self-efficacy in school-age children with type 1 diabetes mellitus

doi:10.3760/cma.j.issn.1007-1245.2024.09.038

Abstract

Abstract:

Objective　To investigate the effects of specialized games on negative emotions and self-efficacy in school-age children with type 1 diabetes mellitus. Methods　A total of 66 school-age children with type 1 diabetes mellitus who were followed up in pediatric endocrine clinics of Jinjiang Municipal Hospital and Jinjiang Maternal and Child Health Hospital from March 2021 to June 2022 were selected for the randomized controlled trial. The children were divided into a control group and an intervention group by the random number table method, with 33 cases in each group. During the intervention period, 31 cases finished the followed up in the control group, and 2 did not; 30 cases finished the follow up in the intervention group, and 3 did not. There were 14 males and 17 females in the control group who were (9.74±1.90) years old. There were 17 males and 13 females in the intervention group who were (9.60±1.71) years old. The control group received outpatient follow-up and routine health education; in addition, the intervention group took specialized game intervention. Both groups were intervened once every other week for 6 times 12 weeks. The scores of diabetes knowledge, social anxiety, depression, and self-efficacy were compared between the two groups before and after the intervention. t test and rank sum test were applied. Results　After the intervention, the scores of diabetes knowledge, social anxiety, and depression in the intervention group were better than those in the control group [(17.83±2.23) vs. (14.23±3.19), 7.00 (5.00, 10.00) vs. 9.00 (7.00, 11.00), and 9.00 (7.00, 12.25) vs. 13.00 (10.00, 15.00)], with statistical differences (t=5.103, P<0.001; Z=2.884, P=0.004; Z=2.560,P=0.010). The score of self-efficacy in the intervention group was higher than that in the control group [(100.80±21.96) vs. (86.77±24.24)], with a statistical difference (t=2.370, P=0.021). Conclusion　Specialized games for school-age children with type 1 diabetes mellitus can improve their knowledge of diabetes and sense of self-efficacy, and reduce their social anxiety and depression.

Key words:

Type 1 diabetes mellitus, Specialized games, School-age, Negative emotions, Self-efficacy

摘要：

目的　分析专科化游戏对学龄期1型糖尿病患儿负性情绪及自我效能的影响。方法　选取2021年3月至2022年6月于晋江市医院儿科、晋江市妇幼保健院内分泌门诊随访的66例学龄期1型糖尿病患儿进行前瞻性研究，采用随机数字表法将患儿分为对照组与干预组，各33例。干预期间，对照组失访2例，完成31例，其中男14例，女17例，年龄（9.74±1.90）岁；干预组失访3例，完成30例，其中男17例，女13例，年龄（9.60±1.71）岁。对照组实施门诊随访与常规健康教育，干预组在对照组基础上增加专科化游戏干预，均每2周1次，共6次，为期12周。比较两组患儿干预前后的糖尿病知识、社交焦虑、抑郁及自我效能情况。统计学方法采用χ²检验、t检验及秩和检验。结果　干预后，干预组患儿的糖尿病知识得分高于对照组［（17.83±2.23）分比（14.23±3.19）分］，差异有统计学意义（t=5.103，P<0.001）；干预组患儿社交焦虑及抑郁情绪评分均低于对照组［7.00（5.00，10.00）分比9.00（7.00，11.00）分、9.00（7.00，12.25）分比（13.00（10.00，15.00）分］，差异有统计学意义（Z=2.884，P=0.004；Z=2.560，P=0.010）；干预组患儿的自我效能得分高于对照组［（100.80±21.96）分比（86.77±24.24）分］，差异有统计学意义（t=2.37，P=0.021）。结论　专科化游戏能提高1型糖尿病患儿的认识水平，降低社交焦虑及抑郁情绪，提升自我效能感。

关键词:

1型糖尿病, 专科化游戏, 学龄期, 负性情绪, 自我效能

Xie Liyue, Zheng Zhihui, Yang Yinjin, Ye Xiuyu, Lu Yacong.

Influence of specialized games on negative emotions and self-efficacy in school-age children with type 1 diabetes mellitus [J]. International Medicine and Health Guidance News, 2024, 30(9): 1579-1584.

谢丽月郑智慧杨银锦叶秀玉卢亚聪.

专科化游戏对学龄期1型糖尿病患儿负性情绪及自我效能的影响 [J]. 国际医药卫生导报, 2024, 30(9): 1579-1584.

References

[1] 邹丹,胡陶,谢坚. 儿童青少年1型糖尿病研究进展[J]. 中国糖尿病杂志,2019,27(9):715-717. DOI:10.3969/j.issn.1006-6187.2019.09.015.
[2] Mayer-Davis EJ, Kahkoska AR, Jefferies C, et al. ISPAD Clinical Practice Consensus Guidelines 2018: definition, epidemiology, and classification of diabetes in children and adolescents[J]. Pediatr Diabetes, 2018,19 Suppl 27:7-19. DOI: 10.1111/pedi.12773.
[3] Miller RG, Mahajan HD, Costacou T, et al. A contemporary estimate of total mortality and cardiovascular disease risk in young adults with type 1 diabetes: the pittsburgh epidemiology of diabetes complications study[J]. Diabetes Care, 2016,39(12):2296-2303. DOI: 10.2337/dc16-1162.
[4] 王秋丽,罗路路,曹玉琴,等. 学龄前1型糖尿病儿童家庭功能的现状及影响因素分析[J]. 国际医药卫生导报,2023,29(2):212-216. DOI:10.3760/cma.j.issn.1007-1245. 2023.02.016.
[5] 缪艳霞,王芳,乔良美,等. 学龄期1型糖尿病儿童生存质量差异的因素分析[J]. 中国儿童保健杂志,2019,27(5):551-554. DOI:10.11852/zgetbjzz2018-1450.
[6] Yogman M, Garner A, Hutchinson J, et al. The power of play: a pediatric role in enhancing development in young children[J]. Pediatrics, 2018,142(3):e20182058. DOI: 10.1542/peds.2018-2058.
[7] 周乐山,崔文香.儿科护理学[M].北京:人民卫生出版社,2020:36-37.
[8] 中华医学会儿科学分会内分泌遗传代谢学组,中华儿科杂志编辑委员会. 中国儿童1型糖尿病标准化诊断与治疗专家共识(2020版)[J]. 中华儿科杂志,2020,58(6):447-454. DOI:10.3760/cma.j.cn112140-20200221-00124.
[9] 方积乾.卫生统计学[M]. 7版.北京:人民出版社, 2012:295-296.
[10] 王力,吴利平,王平,等. 1型糖尿病患儿健康教育游戏软件的开发及应用研究[J]. 中华护理杂志,2020,55(11):1659-1664. DOI:10.3761/j.issn.0254-1769.2020.11.010.
[11] 陈霭玲,张振路,廖志红,等. 糖尿病患者自我管理水平和生存质量相关性研究[J]. 中国行为医学科学,2006,15(5):434-436. DOI:10.3760/cma.j.issn.1674-6554. 2006.05.024.
[12] 李飞,苏林雁,金宇. 儿童社交焦虑量表的中国城市常模[J]. 中国儿童保健杂志,2006,14(4):335-337. DOI:10.3969/j.issn.1008-6579.2006.04.006.
[13] 吴文峰,卢永彪,谭芙蓉,等. 儿童抑郁量表中文版在中小学生中的信效度[J]. 中国心理卫生杂志,2010,24(10):775-779. DOI:10.3969/j.issn.1000-6729.2010.10.014.
[14] 刘维维,彭庆莲,姜艳春. 2型糖尿病患者自我效能及影响因素分析[J]. 护理学报,2008,15(8):11-13. DOI:10.3969/j.issn.1008-9969.2008.08.004.
[15] 弓雪茹. 1型糖尿病儿童出院后自我血糖管理现状分析[J]. 实用糖尿病杂志,2019,15(2):13-14.
[16] Lewandowska P, Jakubowska N, Hryniewicz N, et al. Association between real-time strategy video game learning outcomes and pre-training brain white matter structure: preliminary study[J]. Sci Rep, 2022,12(1):20741. DOI: 10.1038/s41598-022-25099-0.
[17] Vigil-Dopico R, Delgado-Lobete L, Montes-Montes R, et al. A comprehensive analysis of the relationship between play performance and psychosocial problems in school-aged children[J]. Children (Basel), 2022,9(8):1110. DOI: 10.3390/children9081110.
[18] Ciuffo LL, Souza TV, Freitas TM, et al. The use of toys by nursing as a therapeutic resource in the care of hospitalized children[J]. Rev Bras Enferm, 2023,76(2):e20220433. DOI: 10.1590/0034-7167-2022-0433.
[19] 罗佳欣,杨军弟,刘芳,等. 儿童青少年1型糖尿病患儿的压力和应对方式对其疾病自我管理的影响[J]. 中国当代儿科杂志,2018,20(12):1024-1029. DOI:10.7499/j.issn.1008- 8830.2018.12.009.
[20] 李冬静,邢凤梅,董春艳,等. 基于自我效能理论的护理干预对老年糖尿病病人饮食自我管理行为的长期影响[J]. 护理研究,2020,34(5):897-899. DOI:10.12102/j.issn.1009- 6493.2020.05.036.
[21] Qiu T, Huang J, Wang W. Association between diabetes knowledge and self-efficacy in patients with type 2 diabetes mellitus in China: a cross-sectional study[J]. Int J Endocrinol, 2020,2020:2393150. DOI: 10.1155/2020/2393150.
[22] Yang J, Guo J, Tang Y, et al. The mediating effect of coping styles and self-efficacy between perceived stress and satisfaction with QOL in Chinese adolescents with type 1 diabetes[J]. J Adv Nurs, 2019,75(7):1439-1449. DOI: 10.1111/jan.13933.
[23] Goethals ER, Volkening LK, Tinsley L, et ak. Ready or not? Greater readiness for independent self-care predicts better self-management but not HbA1c in teens with type 1 diabetes[J]. Diabet Med, 2021,38(5):e14507. DOI: 10.1111/dme.14507.
[24] 谢丽月. 治疗性游戏在儿童慢性病护理中的应用研究进展[J]. 现代医药卫生,2023,39(16):2822-2825. DOI:10.3969/j.issn.1009-5519.2023.16.024.
[25] Bodrova E, Leong DJ, Yudina E. Play is a play, is a play, is a play… or is it? Challenges in designing, implementing and evaluating play-based interventions[J]. Front Psychol, 2023,14:1034633. DOI: 10.3389/fpsyg.2023.1034633.