4至10岁糖尿病患儿的养育方式、治疗方案依从性及血糖控制
Parenting styles, regimen adherence, and glycemic control in 4- to 10-year-old children with diabetes.
作者信息
Davis C L, Delamater A M, Shaw K H, La Greca A M, Eidson M S, Perez-Rodriguez J E, Nemery R
机构信息
University of Miami, USA.
出版信息
J Pediatr Psychol. 2001 Mar;26(2):123-9. doi: 10.1093/jpepsy/26.2.123.
OBJECTIVE
To examine relationships among parenting styles, regimen adherence, and glycemic control for preschool and elementary school children who have Type I diabetes.
METHODS
Parents of 55 children with diabetes completed parenting style and regimen adherence questionnaires. Glycosylated hemoglobin results were collected by chart review.
RESULTS
Parental warmth was associated with better adherence ratings. Regression analyses showed that parental warmth explained 27% of the variance in adherence ratings. Parental restrictiveness was associated with worse glycemic control in univariate analyses. However, only Black ethnicity, not adherence or parenting variables, predicted glycemic control. Black ethnicity and lower socioeconomic status (SES) were associated with more parental restrictiveness and worse glycemic control.
CONCLUSIONS
These results suggest that authoritative parenting, characterized by support and affection, may be advantageous for the regimen adherence and glycemic control of school-age and younger children with diabetes. Demographic characteristics are important and require further study in this context.
目的
研究Ⅰ型糖尿病学龄前和小学阶段儿童的父母教养方式、治疗方案依从性与血糖控制之间的关系。
方法
55名糖尿病患儿的父母完成了父母教养方式和治疗方案依从性问卷。糖化血红蛋白结果通过查阅病历收集。
结果
父母的温情与更好的依从性评分相关。回归分析表明，父母的温情解释了依从性评分中27%的方差。在单变量分析中，父母的严格要求与较差的血糖控制相关。然而，只有黑人种族，而非依从性或教养变量，能够预测血糖控制情况。黑人种族和较低的社会经济地位（SES）与更多的父母严格要求及较差的血糖控制相关。
结论
这些结果表明，以支持和关爱为特征的权威型教养方式可能有利于糖尿病学龄儿童及年幼患儿的治疗方案依从性和血糖控制。人口统计学特征很重要，在此背景下需要进一步研究。
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