Objective To explore the clinical application value of family centered collaborative nursing management model on preschool children with type 1 diabetes, so as to provide evidance for improving children’s compliance behavior and blood glucose control effect.
Methods A total of 100 preschool children with type 1 diabetes who were admitted to Henan Children’s Hospital from February, 2020 to February, 2022 and their main caregivers were recruited as study subjects. They were divided into control group and observational group based on the random number table method, with 50 subjects in each group. The control group received routine care, and the observational group received care based on the family centered collaborative nursing management model. The awaremess of disease, care burden and the degree of positive feeling of care givers, and the compliance behavior and the effect of blood glucose control of the children were compared between 2 groups.
Results Finally, 48 subjects were recruited in each group. There were no significant differences between two groups in terms of awareness of the disease, ZBI (Zarit Burden Interview) and PAC (Positive Aspects of Caregiving) scores of the main caregivers before intervention (all P > 0.05); After intervention, the awaremess of disease and PAC scores increased, while ZBI scores decreased in both groups; The awareness of disease and PAC scores in observational group were higher than those in control group, while ZBI scores were lower than those in control group (P < 0.05); The rates of compliance bahavior such as diet, exercise, medication use and blood glucose monitoring in observational group were higher than those in control group (all P < 0.05). There were no difference in HbA1c (hemoglobin A1c) and FBG (fasting blood glucose) between the two groups before intervention (all P > 0.05). After intervention, HbA1c and FBG in the two groups all decreased, and those number in observational group were lower than those in control group (P < 0.05), and the rates of HbA1c and FBG drop to normal in the observational group were higher than those in the control group (P < 0.05).
Conclusion The family centered collaborative nursing management model can improve the awareness of disease among main caregivers of preschool children with type 1 diabetes, reduce their burden of care, enhance positive feelings, and strengthen the compliance behavior of preschool children with type 1 diabetes, which is conducive to blood glocose control.
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