关键词: 1型糖尿病, 青少年, 饮食行为紊乱, 影响因素分析, 儿科护理学

Abstract:

Objective To investigate the current situation of disordered eating behaviors in adolescents with type 1 diabetes mellitus，and to analyze the influencing factors of disordered eating behaviors. Methods A total of 187 adolescents with type 1 diabetes mellitus were recruited from a tertiary hospital during follow-up by the convenient sampling method from December 2021 to September 2022. The General Information Questionnaire，the Diabetes Eating Problem Survey-Revised，the Problem Areas in Diabetes Scale-5，the Diabetes Strengths and Resilience Measure for Adolescents，and the Dual-Mode of Self-Control Scale were used to explore the current status of disordered eating behaviors in adolescents with type 1 diabetes. We adopted the multiple linear regression model to analyze the influencing factors of disordered eating behaviors. Results 174 participants completed the questionnaires. The scores of disordered eating behaviors were（21.25±10.93） points. The incidence of disordered eating behaviors was 54.60%. The multiple linear regression analysis showed that the influencing factors of disordered eating behaviors involved gender，BMI，mental distress，resilience，and self-control. Conclusion High disordered eating behaviors exist in adolescents with type 1 diabetes. Medical practitioners should regularly evaluate patients’ disordered eating behaviors，especially female，obese or overweight patients. Through correcting the patients’ problematic body image cognition，and enhancing their confidence in disease control，medical staff could help them cope with stress positively，reduce negative emotional experiences，and further decrease the occurrence of disordered eating behaviors.

Key words: Type 1 Diabetes, Adolescents, Disordered Eating Behaviors, Root Cause Analysis, Pediatric Nursing