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目的探讨有关儿童青少年1型糖尿病患儿行为问题的影响因素。方法采用Achenbach儿童行为量表中文问卷和自制的影响因素问卷,对205例北京地区1型糖尿病患儿和619例健康对照者进行评定,并使用SPSS10.0统计软件对两组的调查结果进行因素分析。结果①行为问题的检出率:糖尿病患儿检出率为20.0%,与健康对照组(8.2%)比较,糖尿病患儿行为问题检出率高于健康对照组P=0.000;②Logistic回归分析显示,与糖尿病患儿行为问题有关的危险因素分别为在农村生活、双亲关系紧张、亲子关系差、缺乏直接感情交流、教育方式不当、对子女了解较少、仅由父母中的一方承担管理子女的责任及血糖控制不良;③将健康对照组与1型糖尿病组综合分析后发现:影响行为问题发生的所有危险因素中,患糖尿病的相对危险度最大。结论1型糖尿病患儿是行为问题发生的高危人群;糖尿病患儿行为问题的发生是多种因素相互作用的结果。
Objective To investigate the influencing factors of behavioral problems in children and adolescents with type 1 diabetes. Methods A total of 205 Chinese children with type 1 diabetes mellitus and 619 healthy controls in Beijing were assessed using the Achenbach questionnaire on children’s behavior scale and self-made questionnaire. SPSS 10.0 software was used to analyze the results of the two groups analysis. Results ① The detection rate of behavioral problems: The detection rate of children with diabetes was 20.0%. Compared with the healthy control group (8.2%), the detection rate of behavioral problems in children with diabetes was higher than that of the healthy control group (P = 0.000) .② Logistic regression analysis , Risk factors related to behavior problems in children with diabetes are respectively: rural life, parents’ relationship, poor parent-child relationship, lack of direct exchange of affection, improper education mode, little understanding of children, management of children by one of the parents Responsibility and poor glycemic control; ③ The healthy control group and type 1 diabetes group analysis found that: all the risk factors that affect behavioral problems occur, the relative risk of suffering from diabetes the largest. Conclusions Children with type 1 diabetes are risk factors for behavioral problems. The occurrence of behavioral problems in children with type 2 diabetes is the result of many factors.