1型糖尿病患儿链式健康教育方案的应用效果研究

doi:10.3761/j.issn.1672-9234.2026.06.016

中华护理教育 ›› 2026, Vol. 23 ›› Issue (6): 748-754.doi: 10.3761/j.issn.1672-9234.2026.06.016

1型糖尿病患儿链式健康教育方案的应用效果研究

周悦(), 郑燕, 陈晓春^*(), 袁婷, 张矗昊

浙江大学医学院附属儿童医院儿童少年健康与疾病国家临床医学研究中心内分泌科杭州市 310052

收稿日期:2025-12-26 出版日期:2026-06-15 发布日期:2026-06-18
通讯作者: *陈晓春，E-mail：cxcsp2008@zju.edu.cn
作者简介:周悦：女，本科，主管护师，E-mail：zhouyue8211@zju.edu.cn
第一联系人：作者贡献声明
研究构思与设计由周悦、陈晓春完成；数据收集为郑燕、袁婷；论文撰写为周悦、张矗昊。
基金资助:
浙江省医药卫生科技计划项目(2025KY934)

Application effect of a chain health education program for type 1 diabetes in children

ZHOU Yue(), ZHENG Yan, CHEN Xiaochun^*(), YUAN Ting, ZHANG Chuhao

Department of Endocrinology， Children’s Hospital Zhejiang University School of Medicine & National Clinical Research Center for Children and Adolescents’ Health and Diseases， Hangzhou 310052， China

Received:2025-12-26 Online:2026-06-15 Published:2026-06-18
Contact: *CHEN Xiaochun，E-mail：cxcsp2008@zju.edu.cn
Supported by:
Zhejiang Province Medical and Health Science and Technology Plan Project(2025KY934)

摘要/Abstract

摘要：

目的探讨1型糖尿病患儿链式健康教育方案的应用效果。方法遵循“以患者和家庭为中心护理”理念及链式管理原则，经查阅国内外指南及专家小组会议等形成针对1型糖尿病患儿管理的链式健康教育方案（简称方案）。选取2023年6月—2025年6月在杭州市某三级甲等儿童专科医院内分泌科住院的205例新发1型糖尿病患儿为研究对象。其中2023年6月—2024年6月收治的105例患儿为对照组，对其及主要照护者实施常规健康教育；将2024年7月—2025年6月收治的100例患儿设为试验组，对其及主要照护者实施基于方案的链式健康教育。对比两组以入院时为基准，出院3个月后糖化血红蛋白（HbA1c）的下降值，以及出院时主要照护者的糖尿病知识考核得分和对护理服务的满意度。结果以入院时为基准，出院3个月后，试验组HbA1c下降值大于对照组（P<0.05）；出院时，试验组主要照护者的糖尿病知识考核得分和对护理服务的满意度高于对照组（P<0.05）。结论方案的应用不仅能够有效改善1型糖尿病患儿近期血糖控制水平，还能提升其主要照护者的糖尿病知识水平和对护理服务的满意度，值得推广。

关键词: 糖尿病, 1型, 儿童, 健康教育, 链式管理, 血糖管理, 以患者和家庭为中心护理

Abstract:

Objective To explore the application effects of a chain health education program for childhood type 1 diabetes. Methods Following the patient-and family-centered care concept and chain management principles，a chain health education program（hereinafter referred to as the Program） for management in pediatric type 1 diabetes mellitus was developed through reviewing domestic and international guidelines and expert panel meetings. A total of 205 children with newly diagnosed type 1 diabetes mellitus who were hospitalized and treated in a Grade A tertiary pediatric specialty hospital from June 2023 to June 2025，as well as their primary caregivers，were selected as the participants. Among them，105 children admitted from June 2023 to June 2024 were assigned to the control group，receiving routine health education provided for both the children and their primary caregivers；100 children admitted from July 2024 to June 2025 were assigned to the experimental group，receiving chain health education for both the children and their primary caregivers. The reduction in glycosylated hemoglobin （HbA1c） at 3 months after discharge，as well as the diabetes knowledge assessment scores of primary caregivers and their satisfaction with nursing services at discharge，were compared between the two groups. Results At 3 months after discharge，the reduction range of HbA1c in the experimental group was significantly greater than that in the control group（P<0.05）；at discharge，the diabetes knowledge assessment scores of primary caregivers and their satisfaction with nursing services in the experimental group were significantly higher than those in the control group（P<0.05）. Conclusion The application of the Program can not only effectively improve the short-term blood glucose control level of children with type 1 diabetes mellitus，but also enhance the diabetes knowledge level of their primary caregivers and their satisfaction with nursing services，which is worthy of wide clinical promotion.

Key words: Diabetes Mellitus, Type 1, Children, Health Education, Chain Management, Blood Glucose Management, Patient- and Family-Centered Care

周悦, 郑燕, 陈晓春, 袁婷, 张矗昊. 1型糖尿病患儿链式健康教育方案的应用效果研究[J]. 中华护理教育, 2026, 23(6): 748-754.

ZHOU Yue, ZHENG Yan, CHEN Xiaochun, YUAN Ting, ZHANG Chuhao. Application effect of a chain health education program for type 1 diabetes in children[J]. Chinese Journal of Nursing Education, 2026, 23(6): 748-754.

图/表 3

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1型糖尿病患儿链式健康教育方案的应用效果研究

Application effect of a chain health education program for type 1 diabetes in children

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