目的 探讨社会-经济因素对1型糖尿病（T1DM）青少年患儿自我照护能力和总体幸福感的影响.方法 采用便利抽样法,选取2014年1月—2016年1月于郑州大学第一附属医院内分泌科收治的T1DM患儿75例,收集患儿家属的社会-经济因素,包括文化程度、职业状况、家庭年收入水平及户口所在地.采用糖尿病自我照顾量表（DSCS）和纽芬兰纪念大学幸福感量表（MUNSH）调查患儿的自我照护能力和主观幸福感,并以多元线性回归分析社会-经济因素与自我照护能力和总体幸福感的相关性.结果 在本研究中,患儿自我照护能力评分（80.66±8.57）分,其中评分良好19例、一般35例、差21例;总体幸福感评分（34.02±4.99）分,其中低幸福感23例,中幸福感26例,高幸福感26例.父母文化程度、父亲职业状况、家庭年收入在不同自我照护能力患儿间比较,差异有统计学意义（P〈0.01）;父母文化程度、父母职业状况及家庭年收入水平在不同总体幸福感患儿间比较,差异有统计学意义（P〈0.05）.多元线性回归分析显示,父母文化程度、父亲职业状况及家庭年收入为T1DM青少年患儿自我照护能力的影响因素（P〈0.01）;父母文化程度、父母职业状况及家庭年收入为T1DM青少年患儿总体幸福感的影响因素（P〈0.01）.结论 T1DM青少年患儿自我照护能力和总体幸福感均处于中等水平,患儿父母的文化水平、职业状况及家庭年收入可能是两者共同的影响因素.
Objective To explore the influence of social-economic factors on self-care ability and general well-being in adolescents with type 1 diabetes mellitus （T1DM）. Methods Totally 75 adolescents with T1DM who were treated in Endocrinology Department of the First Affiliated Hospital of Zhengzhou University from January 2014 to January 2016 were selected as the research objects, and the social-economic factors of their families were collected, which included education degree, career situation, yearly household income and citizenship. The levels of self-care ability and general happiness in adolescents with T1DM were researched by Diabetes Self-Care Scale （DSCS） and Memorial University of Newfoundland Scale of Happiness（MUNSH）, and the correlation between the social-economic factors and self-care ability, general happiness were analyzed by multiple linear regression analysis. Results In this study, the score of self-care ability of adolescents was （80.66±8.57）, in which 19 cases got good scores, 35 cases got general scores and 21 cases got poor scores; the score of general happiness was （34.02±4.99）, in which 23 cases got low scores, 26 cases got medium scores and 26 cases got high scores. The differences in parents＇ education degree, father＇s career situation, and yearly household income among T1DM adolescents with different self-care ability levels were statistically significant （P〈0.01）; the differences in parents＇ education degree, parents＇ career situation and yearly household income among T1DM adolescents with different general happiness levels was statistically significant （P〈 0.05）. Multiple linear regression showed that parents＇ education degree, father＇s career situation and yearly household income were influence factors of self-care ability in adolescents with T1DM （P〈 0.01）; parents＇ education degree, parents＇ career situation and yearly household income were influencing factors for general well-being in adolescents with T1DM （P〈 0.01）. Conclusions