1型糖尿病患儿父母心理状态的研究进展

Research progress on psychological state in parents of children with type 1 diabetes mellitus

1型糖尿病作为儿科最常见的内分泌疾病之一,患儿父母肩负着孩子日常糖尿病管理的责任,父母的心理状态直接关系到家庭环境、家庭行为及患儿心理健康状况,还会对日常糖尿病管理造成影响。本文从1型糖尿病患儿父母存在的不良心理状态及其影响因素、有效的护理干预措施等方面对当前研究进行综述,阐述患儿父母可能存在创伤后应激症状、焦虑、抑郁、慢性悲伤等不良心理状态;分析影响患儿父母的疾病相关因素及社会因素、医护因素;对缓解患儿父母不良心理状态的有效护理措施如健康教育、同伴支持、阶梯式护理模式进行归纳。建议医护人员对1型糖尿病患儿父母的心理状态给予更多关注与支持,探索能被我国患儿父母所接受的心理支持模式。

Type 1 diabetes mellitus(T1DM)is one of the most common endocrine diseases in pediatrics.The parents of the children bear the responsibility of their children's daily diabetes management.The psychological state of the parents is directly related to the family environment,family behavior and the mental health of the children,and it also affects the daily management of diabetes.This article reviews the current research in terms of the adverse psychological state of parents of T1DM children and its influencing factors,effective nursing interventions and so on.This article explains that parents of children may have adverse psychological states such as post-traumatic stress symptoms,anxiety,depression and chronic sorrow,and analyzes the disease-related factors,social factors and medical and nursing staff factors affecting parents of children,and summarizes the effective nursing measures such as health education,peer support and stepped nursing model to alleviate the psychological state of parents of the children.It is recommended that medical and nursing staff give more attention and support to the psychological state of parents of T1DM children,and explore the psychological support models that can be accepted by parents of children in China.