A Multidisciplinary, Comprehensive, Ambulatory Treatment Scheme for Diabetes Mellitus in Children
A Multidisciplinary, Comprehensive, Ambulatory Treatment Scheme for Diabetes Mellitus in Children
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儿童糖尿病的多学科综合门诊治疗方案
DOI：
10.2337/diacare.2.4.342
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发表时间：
1979
期刊：
影响因子：
16.2
通讯作者：
M. Mimouni
中科院分区：
文献类型：
--
作者：
Z. Laron,;A. Galatzer;S. Amir;R. Gil;M. Karp;M. Mimouni
一个由儿科内分泌学家、护士、营养师、心理学家和社会工作者组成的多学科小组对262名青少年糖尿病儿童及其父母进行了一项研究，他们在门诊的基础上接受了长达10岁的治疗。将研究结果与青少年糖尿病咨询中心成立前的一项研究结果进行比较，发现以下积极影响：达到的控制程度更高，并更有规律地持续；并发症较少，没有昏迷、脆性糖尿病或严重的酮症酸中毒，几乎不需要住院；受影响的孩子、他的父母和他的老师的态度有了很大改善；对疾病的性质和要求有了更好的了解；孩子维持糖尿病治疗的动机更大，家庭内部的冲突明显减少；孩子的自我概念要高得多；无论是学业成绩还是社会适应能力都更强。我们得出结论：心理稳定是控制糖尿病的一个基本因素，多学科方法在治疗这一慢性疾病中的价值被指出。
A study has been carried out on 262 children with juvenile diabetes and their parents, treated up to 10 yr on an ambulatory basis by a multidisciplinary team composed of pediatric endocrinologist, nurse, dietitian, psychologist, and social worker. Comparison of the findings with those of a study performed before inception of the Counselling Center for Juvenile Diabetics revealed the following positive influences: the degree of control attained was both higher and sustained with greater regularity; there were fewer complications with no episodes of coma, brittle diabetes, or severe ketoacidosis and almost no need for hospitalization; the attitude of the affected child, his parents, and his teachers was found to be considerably improved; there was better understanding of the nature of the disease and its requirements; the child's motivation to maintain the diabetic regimen was greater and conflicts within the family circle were markedly reduced; the child's self-concept was much higher; and both scholastic achievements and social adjustment were greater. We concluded that psychological stability is a basic factor in the control of diabetes, and the value of the multidisciplinary approach in the treatment of this chronic disease is indicated.