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针对1型糖尿病儿童的父母的育儿干预措施 - - 一项系统性审查
Mandy Jansen1,2,3, Paul G Voorhoeve3,4, Lianne Wiltink3,5
1Department of Medical Psychology, Radboud University Medical Center, Nijmegen, The Netherlands.
Journal of pediatric psychology
|September 22, 2025
概括
有针对性的家长干预措施有望改善1型糖尿病儿童的心理社会和糖尿病结果. 密集,专注的方法似乎最有效,尽管需要更多的研究来确定最佳策略.
科学领域:
- 儿科内分泌学 儿科内分泌学
- 行为科学 行为科学
- 健康心理学 心理健康心理学
背景情况:
- 儿童1型糖尿病的管理需要家庭的重大参与.
- 父母的行为可以影响孩子的坚持和健康结果.
- 现有的育儿干预措施在方法和有效性上有所不同.
研究的目的:
- 系统地审查儿童1型糖尿病的育儿干预措施的有效性.
- 评估对家庭动态,父母,孩子和糖尿病相关结果的影响.
- 确定有效干预的特征.
主要方法:
- 从1980年到2025年2月,对主要数据库 (PubMed,EMBASE,Cochrane,CINAHL,PsycINFO) 进行系统搜索.
- 包括受控和不受控制的研究与定量数据.
- 数据的叙述合成,干预的行为编码和偏见风险评估.
主要成果:
- 在选了12,654份报告后,包括了51项研究 (37项独特干预).
- 大多数研究都有偏差的风险增加;整体效应是混合的.
- 强化,有针对性的干预措施对心理社会和糖尿病的结果产生了最大的影响;针对糖尿病的专注是必要的,但不够的.
结论:
- 有针对性和预防性的育儿干预可以改善心理社会和糖尿病的结果.
- 需要进一步的研究来确定哪些家庭受益最多,并确定干预的基本组成部分.
- 与其他教育或支持干预措施进行比较是合理的.
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