1型糖尿病青少年的过渡准备和应对方式
Jennifer Kelleher1, Rebecca LaQuaglia1, Janelle Heddings2
1West Virginia University, Department of Psychology, 1124 Life Sciences Building, P.O. Box 6040, Morgantown, WV 26506-6040, USA.
Journal of pediatric nursing
|August 10, 2024
概括
应对方式并不直接影响1型糖尿病青少年的过渡准备. 然而,脱离应对会增加糖尿病的痛苦,这会对独立管理糖尿病的准备产生负面影响.
科学领域:
- 儿科内分泌学 儿科内分泌学
- 青少年健康 青少年健康
- 慢性疾病的心理社会方面
背景情况:
- 有效的应对策略对于青少年的健康结果至关重要.
- 对于患有1型糖尿病 (T1D) 的青少年来说,过渡准备是关键,以独立管理他们的病情.
- 在T1D中,应对方式和过渡准备之间的关系存在有限的研究.
研究的目的:
- 调查T1D青少年的应对方式和过渡准备之间的直接和间接关联.
- 为了确定特定的应对方式是否预测过渡准备.
- 检查糖尿病困扰在脱离应对和过渡准备之间的关系中的调解作用.
主要方法:
- 这是一项涉及68个有青少年T1D的家庭的横截面观察研究.
- 通过电子调查收集的关于人口统计,应对方式,过渡准备和糖尿病困境的数据.
- 从电子健康记录中提取的医疗数据.
主要成果:
- 在对HbA1c进行控制后,在初级控制,二级控制或脱离应对和过渡准备之间没有直接显著的关联.
- 观察到脱离应对对过渡准备的显著间接效应,通过增加糖尿病困境 (青少年和家长报告) 调解.
结论:
- 应对方式并没有直接影响T1D青少年的过渡准备.
- 脱离应对与更高的糖尿病痛苦有关,这反过来又与更低的过渡准备有显著的关联.
- 干预措施应针对应对策略和心理社会因素,以提高过渡准备度,并减少T1D青少年的痛苦.
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