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首页> 外文期刊>Pediatrics: Official Publication of the American Academy of Pediatrics >Glycemic control in pediatric type 1 diabetes: role of caregiver literacy.
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Glycemic control in pediatric type 1 diabetes: role of caregiver literacy.

机译：儿科1型糖尿病的血糖控制：看护者扫盲的作用。

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OBJECTIVE: Poorly controlled diabetes may occur because caregivers of children with type 1 diabetes fail to comprehend provided diabetes education. We hypothesized that poorly controlled diabetes is associated with lower literacyumerical skills of caregivers of children with type 1 diabetes. METHODS: Primary caregivers were evaluated by using Newest Vital Sign (NVS) and a sociodemographic questionnaire. The NVS identifies individuals who are at risk for low health literacy by measuring general literacyumeracy skills and yields an overall estimate of health literacy. The NVS scores are interpreted to suggest inadequate, limited, or adequate literacy. RESULTS: Two hundred caregivers of children who had type 1 diabetes with mean hemoglobin A1c (HbA1c) of 8.8 +/- 1.9%, age of 11.8 +/- 3.7 years, duration of disease of 4.8 +/- 3.3 years, and BMI of 20.8 +/- 4.4 kg/m(2) participated. HbA1c in those of inadequate literacy (10.4 +/- 2.2%) was significantly higher than in those of adequate literacy (8.6 +/- 1.7%; P < .001). HbA1c in those whose caregivers had limited literacy (9.5 +/- 2.2%) did not differ significantly from the other 2 groups. On adjusting for independent covariates, we found that children whose caregivers had at least 50% correct math answers had better glycemic control (8.5 +/- 1.7%) than those who failed (9.8 +/- 2.1%; P < .0005). CONCLUSIONS: Literacy and numerical skills of caregivers significantly influence glycemic control of their children with type 1 diabetes. Assessing literacyumeracy skills of caregivers and addressing these deficiencies may be crucial in optimizing glycemic control.
机译：目的：由于1型糖尿病儿童的照顾者无法理解所提供的糖尿病教育，可能会导致糖尿病控制不佳。我们假设控制不佳的糖尿病与1型糖尿病儿童的看护者的识字/数字技能较低有关。方法：使用最新生命体征（NVS）和社会人口统计学问卷对初级护理人员进行评估。 NVS通过测量一般识字/算术技能来识别处于低健康识字风险的人，并得出健康识字的总体估计值。 NVS分数被解释为表明读写能力不足，有限或足够。结果：200名患有1型糖尿病的儿童的照顾者，其平均血红蛋白A1c（HbA1c）为8.8 +/- 1.9％，年龄为11.8 +/- 3.7岁，病程为4.8 +/- 3.3岁，BMI为20.8 +/- 4.4 kg / m（2）参加了比赛。识字不足的人群中的HbA1c（10.4 +/- 2.2％）明显高于识字程度较高的人（8.6 +/- 1.7％; P <.001）。照顾者识字率有限（9.5 +/- 2.2％）的人群中的HbA1c与其他两组的差异无统计学意义。在对独立协变量进行调整后，我们发现照顾者的数学答案正确率至少为50％的孩子比失败者的血糖控制更好（8.5 +/- 1.7％）（9.8 +/- 2.1％; P <.0005）。结论：护理人员的素养和数字技能会显着影响其1型糖尿病儿童的血糖控制。评估看护者的识字/计算能力并解决这些不足对优化血糖控制至关重要。

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