初步探討胰島素依類型糖尿病病童夏令營模式及其效果

A Camping Model for Children with Insulin-Dependent Diabetes Mellitus and Its Effectiveness: A Preliminary Study

胰島素依賴型糖尿病（insulin-dependent diabetes mellitus）不僅影響病患的身體功能，同時對病患心理及社會適應也產生許多問題。本研究主要目的為：（1）發展民間團體主辦及國家醫院支持合作模式之胰島素依賴型糖尿病兒童夏令營模式，作為國內類似活動之參考。（2）評估此夏令營對病患糖尿病知識、自我監測行為、注射胰島素行為及糖化血色素質之影響。由本研究結果顯示在良好組織及合作執行下，IDDM病童可以安全地參與夏令營活動；並證實IDDM夏令營可增進病童對糖尿病的知識，及在家執行自我照顧行為意願上有所幫忙、對糖化血色素值則未呈現有意義之影響。這次國內第一次IDDM夏令營活動受家長及學童的肯定，因此後來舉行的夏令營皆能順利地展開及受歡迎。

Insulin-Dependent Diabetes Mellitus (IDDM), an important metabolic illness of childhood & adolescence, not only influences patients’ physical conditions, but also causes many psychological and social problems. The purpose of this study were to (1) develop IDDM camp which was supported by both a non-government association and national hospitals, (2) evaluate the effectiveness of IDDM camp on knowledge, self-monitoring, insulin injection and HbA1C of patients. Results indicated that children with IDDM could participate safely in an IDDM camp with good organization and policy. IDDM knowledge and motivation of self-management by patients were improved after camp, but HbA1C weren’t improved. This first IDDM camp in Taiwan was deeply appreciated by patients and their parents.