Influence of specialized games on negative emotions and self-efficacy in school-age children with type 1 diabetes mellitus
Objective To investigate the effects of specialized games on negative emotions and self-efficacy in school-age children with type 1 diabetes mellitus.Methods A total of 66 school-age children with type 1 diabetes mellitus who were followed up in pediatric endocrine clinics of Jinjiang Municipal Hospital and Jinjiang Maternal and Child Health Hospital from March 2021 to June 2022 were selected for the randomized controlled trial.The children were divided into a control group and an intervention group by the random number table method,with 33 cases in each group.During the intervention period,31 cases finished the followed up in the control group,and 2 did not;30 cases finished the follow up in the intervention group,and 3 did not.There were 14 males and 17 females in the control group who were(9.74±1.90)years old.There were 17 males and 13 females in the intervention group who were(9.60±1.71)years old.The control group received outpatient follow-up and routine health education;in addition,the intervention group took specialized game intervention.Both groups were intervened once every other week for 6 times 12 weeks.The scores of diabetes knowledge,social anxiety,depression,and self-efficacy were compared between the two groups before and after the intervention.t test and rank sum test were applied.Results After the intervention,the scores of diabetes knowledge,social anxiety,and depression in the intervention group were better than those in the control group[(17.83±2.23)vs.(14.23±3.19),7.00(5.00,10.00)vs.9.00(7.00,11.00),and 9.00(7.00,12.25)vs.13.00(10.00,15.00)],with statistical differences(t=5.103,P<0.001;Z=2.884,P=0.004;Z=2.560,P=0.010).The score of self-efficacy in the intervention group was higher than that in the control group[(100.80±21.96)vs.(86.77±24.24)],with a statistical difference(t=2.370,P=0.021).Conclusion Specialized games for school-age children with type 1 diabetes mellitus can improve their knowledge of diabetes and sense of self-efficacy,and reduce their social anxiety and depression.
Type 1 diabetes mellitusSpecialized gamesSchool-ageNegative emotionsSelf-efficacy