摘要
目的:分析家庭责任对青少年1型糖尿病患者自我管理行为和血糖控制的影响,为制订个性化的家庭干预策略和优化健康管理模式提供参考依据。方法:采用便利抽样法,于2024年1月—9月选取温州市、苏州市2家三级甲等医院常规复诊的190例青少年1型糖尿病患者作为研究对象。使用一般资料调查表、糖尿病家庭责任问卷及糖尿病自我管理行为量表进行调查。采用分层回归分析责任分担对自我管理行为与血糖控制的影响。结果:在青少年1型糖尿病患者的健康管理过程中,父母责任的比例最高,为42%(21%,59%)。回归结果显示,控制一般资料后,共同责任独立解释16.4%的患者自我管理行为变异与5.3%的血糖控制变异,父母责任独立解释9.2%的患者自我管理行为变异与3.4%的血糖控制变异。结论:青少年1型糖尿病患者及其父母的健康管理责任分担水平有待提升。优化责任分担模式可促进青少年1型糖尿病患者自我管理行为,改善血糖控制效果。
Objective:To analyzed the current status of responsibility sharing for health management among adolescents with Type 1 Diabetes Mellitus(T1DM)and its associations with self-management behaviors and glycemic control,aiming to provide references for developing personalized family interventions and optimize the health management models.Methods:A convenience sampling method was employed to select 190 adolescents with T1DM attending routine follow-ups at two tertiary hospitals in Wenzhou and Suzhou from January to September,2024.Data were collected using a general information questionnaire,the Diabetes Family Responsibility Questionnaire,and the Diabetes Self-care Activities scale.Stratified regression analysis was conducted to examine the impact of responsibility sharing on self-management behaviors and glycemic control levels.Results:In the health management of adolescents with T1DM,parental responsibility accounted for the highest proportion,at 42%(21%,59%)of total responsibility.Regression analysis results revealed that,after controlling for demographic variables,shared responsibility independently explained 16.4%of the variance in patients'self-management behaviors and 5.3%of the variance in glycemic control.Parental responsibility independently explained 9.2%of the variance in self-management behaviors and 3.4%of the variance in glycemic control.Conclusion:The level of responsibility sharing in health management between adolescents with T1DM and their parents require enhancement.Optimizing the responsibility-sharing model may promote self-management behaviors and glycemic outcomes.
作者
王旭露
叶晓静
张欣
陈聪
何旭香
张春梅
WANG Xulu;YE Xiaojing;ZHANG Xin;CHEN Cong;HE Xuxiang;ZHANG Chunmei(The Second Clinical Medical School of Wenzhou Medical University,Wenzhou,Zhejiang province,325027,China)
出处
《中国护理管理》
北大核心
2025年第5期775-780,共6页
Chinese Nursing Management
基金
温州市科协服务科技创新项目(jczc0286)。
关键词
青少年
糖尿病护理
家庭责任
自我管理行为
血糖控制
adolescents
diabetes care
family responsibility
self-management behaviors
glycemic control
