Effect of family self-management on blood glucose control and treatment compliance in children with type 1 diabetes mellitus

Abstract

Objective To explore the effect of family self-management on children with type 1 diabetes mellitus (T1DM). Methods Ninety cases of T1DM children admitted to our hospital from January 2015 to January 2017 were divided into the observation group and the control group according to random number table. The patients in the control group were given the traditional diabetes health education and the observation group was added the family self-management methods on the basis of it. The blood glucose control, self-management score, treatment compliance and the incidence of complications were analyzed statistically in the two groups before and after the intervention. Results The levels of fasting blood glucose (FBG) and 2 h postprandial blood glucose (2 hPG) in both groups decreased at different times. The levels of FBG (Fbetween groups=6.317, Pbetween groups=0.026), 2 hPG (Fbetween groups=8.396, Pbetween groups=0.014) and HbA1c (Fbetween groups=7.471, Pbetween groups=0.028) in the control group were significantly higher than those in the observation group at different time points, and there was interaction between the different time points in FBG (Finteraction=8.441, Pinteraction=0.008),2 hPG (Finteraction=10.524, Pinteraction=0.000) and HbA1c (Finteraction=11.547, Pinteraction=0.000) and the groups (P 0.05). After treatment, the self-management scores of the two groups were significantly improved, and the observation group was superior to the control group in diet control (t=2.758, P=0.007), exercise therapy (t=3.389, P=0.001), blood glucose monitoring (t=2.236, P=0.028) and foot care(t=5.038, P=0.000). The difference was statistically significant. In terms of compliance and complications, the Morisky score was higher (t=9.387, P=0.000) and the incidence of complications was lower (χ2=5.031, P=0.025) in the observation group after intervention, and the treatment compliance level was significantly better than the control group (Z=2.028, P=0.043). Conclusions The effect of family self-management model in adolescents of T1DM was exact. It can improve the children's blood glucose control and reduce complications on the basis of improving children's treatment compliance and self-management ability. Key words: Self-management; Diabetes mellitus, type 1; Adolescents; Compliance