Fear of hypoglycaemia in mothers and fathers of children with Type 1 diabetes is associated with poor glycaemic control and parental emotional distress: a population-based study
Fear of hypoglycaemia in mothers and fathers of children with Type 1 diabetes is associated with poor glycaemic control and parental emotional distress: a population-based study
复制标题
DOI：
10.1111/j.1464-5491.2009.02867.x
复制
发表时间：
2010-01-01
影响因子：
3.5
通讯作者：
Rokne, B.
中科院分区：
文献类型：
--
作者：
Haugstvedt, A.;Wentzel-Larsen, T.;Rokne, B.
目的 在一项基于人群的研究中，分析父母对低血糖的恐惧与 (i) 1 型糖尿病儿童中低血糖和糖尿病治疗因素的患病率以及 (ii) 母亲和父亲的情绪困扰之间的关联。 方法 115 名 1 型糖尿病儿童（1-15 岁）的母亲 (n = 103) 和父亲 (n = 97) 参与了这项研究。除了人口统计和疾病特定数据外，参与者还完成了低血糖恐惧调查 - 家长版 (HFS-P)（担忧和行为分量表）和霍普金斯症状检查表 25 项 (HSCL-25) 来衡量情绪困扰。结果 HFS-P 担忧评分越高，糖化血红蛋白 (HbA(1c)) 越高，父母遇到问题低血糖事件的频率越高 (7)在过去的一年中以及孩子的共病疾病。与使用胰岛素泵相比，接受胰岛素注射的儿童较高的 HFS-P 行为评分以及较高的血糖测量频率（每天 7 次）相关。母亲在担忧和行为分量表上的得分都高于父亲。母亲和父亲的 HFS-P 忧虑评分与其 HSCL-25 评分显着相关。 结论 较高水平的低血糖相关恐惧与父母情绪困扰以及孩子血糖控制较差之间的关联强调了支持和指导父母的计划的必要性。结果表明，未来的干预措施应针对父母的恐惧，并采取适当的方法来预防 1 型糖尿病儿童发生低血糖。
Aims To analyse, in a population-based study, the association between parental fear of hypoglycaemia and (i) the prevalence of hypoglycaemia and diabetes treatment factors in children with Type 1 diabetes and (ii) emotional distress in mothers and fathers.Methods Mothers (n = 103) and fathers (n = 97) of 115 children with Type 1 diabetes (1-15 years old) participated in the study. In addition to demographic and disease-specific data, the participants completed the Hypoglycaemia Fear Survey-Parent version (HFS-P) (worry and behaviour subscales) and the Hopkins Symptom Checklist-25 items (HSCL-25) to measure emotional distress.Results A higher HFS-P worry score was associated with higher glycated haemoglobin (HbA(1c)), a higher frequency (7) of what parents experienced as problematic hypoglycaemic events during the past year and co-morbid disease in the child. A higher HFS-P behaviour score was associated with children receiving insulin injections compared with using an insulin pump and a higher frequency (7 per day) of blood glucose measurements. The mothers had higher scores than the fathers in both the worry and behaviour subscales. The mothers' and the fathers' HFS-P worry scores correlated significantly with their HSCL-25 scores.Conclusions The association between a higher level of hypoglycaemic-related fear and parental emotional distress and poorer glycaemic control in the child emphasizes the need for programmes to support and guide parents. The results suggest that future interventions should target both the parents' fear and appropriate ways to prevent hypoglycaemia in children with Type 1 diabetes.