1型糖尿病患儿生存质量的影响因素分析及相应的护理对策.docVIP

精品论文 参考文献 1型糖尿病患儿生存质量的影响因素分析及相应的护理对策 四川省南充市中心医院儿科 637000 【摘 要】目的：探讨影响1型糖尿病患儿生存质量的因素，并针对影响因素提出提高患儿生存质量的护理措施。方法：纳入我院2013年1月至2014年12月儿科收治的糖尿病住院的84例患儿，采用儿童质量普适性核心量表（PedsQL4.0）对患儿的生存质量进行调查，分析84例患儿的一般资料并应用多元逐步回归分析进行分析患儿生存质量的影响因素并提出相应的护理对策。结果：84例患儿中女性、具有糖尿病教育和饮食控制及无家族史的患儿生存质量总分较高，比较差异具有明显统计学意义（Plt;0.05）。年龄大小与生存质量总分比较无统计学意义（Pgt;0.05）。以单因素分析后具有统计学意义的相关因素作为自变量进行多元逐步回归分析，影响患儿生存质量的因素为性别、病程、并发症、糖尿病教育、饮食控制和家族史。结论：1型糖尿病患儿中女性生存质量较差，随着病程加长、并发症过多，患儿接受糖尿病教育和饮食控制不佳及具有糖尿病家族史对生存质量影响较大，针对这些影响因素加强护理对策的实施，从心理护理、健康宣教等方面进行干预，才能提高患儿的生活质量。 【关键词】1型糖尿病；生存质量；儿童；护理；PedsQL4.0 Analysis on influencing factors of quality of life in children with type 1 diabetes and itsnursing countermeasures 【Abstract】 Purpose：Discussion on factors affecting the quality of life in children with type 1 diabetes，and factors to improve the quality of life in children with nursing care. Method：Into the hospital from January 2013 to December 2014 of 84 cases of diabetes mellitus in children admitted to pediatric，Common core of quality scale for children（PedsQL4.0）to investigate the quality of life in children with，General information on the analysis of 84 cases and using multiple stepwise regression analysis of influencing factors of quality of life in children with analysis and corresponding nursing countermeasures. Results：In 84 cases female，with diabetes education and diet quality of life scores in children withand without a family history of high difference statistically significant（Plt;0.05）.no significant agecompared with the quality of life scores（Pgt;0.05）.Single factor analysis of relevantfactors as inde-pendent variables was statistically significant after multivariate stepwiseregression analysis，fac-tors that affect the quality of life in children with gender，disease，complications，diabetes edu-cation，diet and family history.Conclusion：Poor womens quality of life in children with type 1 diabetes，With the course leng-thened，too many complications，diabetes education and diet in children with poorly controlledand