Hanna Kathleen M, Juarez Barbara, Lenss Shona Swenson, Guthrie Diana
Indiana University School of Nursing, Indianapolis, Indiana 46202, USA.
Issues Compr Pediatr Nurs. 2003 Jul-Sep;26(3):145-58. doi: 10.1080/01460860390223871.
This study examined parental involvement in terms of communication and support and these variables in relationship to diabetes management responsibility and metabolic control from the perspective of adolescents. The sample consisted of 27 adolescents who were 12 to 19 years of age (M=15.0 years, SD=1.9) and had type 1 diabetes. Participants completed Independent Functioning, Independent Decision Making, Parent-Adolescent Communication, and Parental Support Checklists. Adolescents reported relatively high level of communication with parents and relatively low level of parental support. These adolescents reported more agreement than amount of communication with parents and reported more parental support received than sought. Although not significantly different, the means for amount of communication and agreement decreased from early to middle to late adolescence and the means for seeking and receiving support increased from early to middle and then decreased from middle to late adolescence. When working with parents and adolescents with type 1 diabetes, health care professionals need to be cognizant of adolescents' view of specific ways that parents are involved and the developmental influences on parent-adolescent relationships.
本研究从青少年的角度，考察了父母在沟通和支持方面的参与情况，以及这些变量与糖尿病管理责任和代谢控制之间的关系。样本包括27名12至19岁（平均年龄M = 15.0岁，标准差SD = 1.9）的1型糖尿病青少年。参与者完成了独立功能、独立决策、亲子沟通和父母支持清单。青少年报告称与父母的沟通水平相对较高，而父母的支持水平相对较低。这些青少年报告的与父母沟通的一致性高于沟通量，且报告获得的父母支持多于寻求的支持。虽然差异不显著，但沟通量和一致性的均值从青少年早期到中期再到晚期呈下降趋势，寻求和获得支持的均值从青少年早期到中期增加，然后从中期到晚期下降。在与患有1型糖尿病的父母和青少年合作时，医疗保健专业人员需要了解青少年对父母参与的具体方式的看法，以及对亲子关系的发展影响。
