1型糖尿病児の親の共同意思決定の認識に影響を与える要因:オタワの意思決定支援枠組みによる横断的な研究
In Hyeong Choi1, In Young Cho2
1Department of Nursing, Chonnam National University Hospital, 42 Jebong-ro, Dong-gu, Gwangju 61469, South Korea.
Journal of pediatric nursing
|August 29, 2025
まとめ
両親の教育,子供の数,そして意思決定の対立は1型糖尿病のケアにおける意思決定の認識を共有します. 紛争を軽減する戦略は 子どもの健康管理の改善に役立ちます
科学分野:
- 小児内分泌学
- 健康心理学
- 看護科学
背景:
- 子供の1型糖尿病の管理には 共同意思決定 (SDM) が重要です
- 意思決定の葛藤,自己効能,看護のサポートなどの親の要因はSDMの認識に影響します.
- オタワの意思決定支援枠組み (ODSF) は,これらのダイナミクスの理解を導きます.
研究 の 目的:
- 意思決定の葛藤,親の自己効能,看護のサポートが1型糖尿病の子供に対する親のSDM認識にどのように影響するか検討する.
- 親のSDM認識を高めるための看護介入の開発のためのデータを収集する.
主な方法:
- 構造化されたアンケートでは,意思決定の衝突,親の自己効能,看護師-親のサポート,SDMを評価しました.
- 1型糖尿病の子供の主介者137人が参加しました.
- データは韓国の参加者からオンラインアンケートで収集された.
主要な成果:
- 親の高等教育 (大学卒以上) と1人の子供を持つことは,SDMに対する肯定的な認識と関連付けられています.
- 意思決定の対立はSDMの認識に悪影響を及ぼしました.
- SDMの認識の差異の20.5%をモデルが説明しました.
結論:
- 親の教育レベル,子供の数,意思決定の対立は1型糖尿病の管理におけるSDMの認識に重要な影響を与える.
- SDMの認識を高めるには,親の人口統計を考慮し,意思決定の葛藤を緩和する戦略を実施する必要があります.
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