家长对低血糖的恐惧：接受持续皮下胰岛素输注治疗的幼儿

Parental fear of hypoglycemia: young children treated with continuous subcutaneous insulin infusion.

作者信息

Patton Susana R, Dolan Lawrence M, Henry Racquel, Powers Scott W

机构信息

Division of Child Behavioral Health, Department of Pediatrics and Communicable Diseases, C.S. Mott Children's Hospital, University of Michigan, Ann Arbor, MI 48109-0318, USA.

出版信息

Pediatr Diabetes. 2007 Dec;8(6):362-8. doi: 10.1111/j.1399-5448.2007.00242.x.

DOI:10.1111/j.1399-5448.2007.00242.x

PMID:18036061

Abstract

BACKGROUND

The objective of this study was to examine the association between parental fear of hypoglycemia and average daily blood glucose control of young children with type 1 diabetes receiving continuous subcutaneous insulin infusion (CSII). We hypothesized that parental fear of hypoglycemia would correlate positively with children's average daily blood glucose control.

METHODS

Twenty-four families of children with type 1 diabetes who were receiving CSII were recruited from a pediatric hospital. Children had a mean age of 5.7 +/- 1.8 yr (range 2-8 yr) and were evenly split on gender. Parents completed a modified version of the Hypoglycemia Fear Survey - Parents of Young Children (HFS-PYC), a measure designed to assess fear and avoidance behaviors associated with hypoglycemia. Blood glucose was assessed for the 2 wk following completion of the HFS-PYC using a standard home blood glucose meter.

RESULTS

Parents of young children obtained a mean total HFS-PYC score of 81 +/- 14.1 (possible range 26-130), suggesting a moderate level of fear. The HFS-PYC was found to be internally consistent and had good test-retest reliability. For parents of young children receiving CSII, fear of hypoglycemia correlated positively with children's mean daily blood glucose levels (r = 0.41, p = 0.05).

CONCLUSIONS

Parents of young children with type 1 diabetes who are receiving CSII report significant fear of hypoglycemia. Parental fear of hypoglycemia may be a barrier to prevent optimal glycemic control.

摘要

背景

本研究的目的是探讨1型糖尿病幼儿接受持续皮下胰岛素输注（CSII）时，父母对低血糖的恐惧与幼儿平均每日血糖控制之间的关联。我们假设父母对低血糖的恐惧与儿童的平均每日血糖控制呈正相关。

方法

从一家儿科医院招募了24名接受CSII治疗的1型糖尿病儿童家庭。儿童的平均年龄为5.7±1.8岁（范围2 - 8岁），性别分布均匀。父母完成了一份修改版的《低血糖恐惧调查——幼儿父母版》（HFS - PYC），该量表旨在评估与低血糖相关的恐惧和回避行为。在完成HFS - PYC后的2周内，使用标准家用血糖仪评估血糖。