Leonard Barbara J, Garwick Ann, Adwan Jehad Z
School of Nursing, University of Minnesota, 6-101 Weaver-Densford Hall, 308 Harvard Street SE, Minneapolis, MN 55455, USA.
J Pediatr Nurs. 2005 Dec;20(6):405-14. doi: 10.1016/j.pedn.2005.03.010.
This descriptive qualitative study compared how 18 teens (aged 14-16 years) with higher (n = 11; HiA(1c)) versus those with lower (n = 7; LoA(1c)) hemoglobin (Hb) A(1c) levels who met the standard of care viewed parental roles and involvement in diabetes management. Content analysis of the verbatim interview transcripts yielded five major themes. Teens in the LoA(1c) group (average HbA(1c) levels < or =8%) described their parents' monitoring roles more positively, whereas teens in the HiA(1c) group (average HbA(1c) levels >8%) were annoyed with reminders and described more conflict with their parents related to lack of adherence to their diabetes protocol. Clinicians need to assess the quality of parent-teen relationships and provide developmentally appropriate interventions to help teens and their parents effectively negotiate role transitions related to diabetes management during middle adolescence.
这项描述性定性研究比较了18名符合护理标准的青少年（14 - 16岁）中，血红蛋白（Hb）A1c水平较高（n = 11；高A1c组）与较低（n = 7；低A1c组）的青少年如何看待父母在糖尿病管理中的角色和参与情况。对逐字记录的访谈转录本进行内容分析得出了五个主要主题。低A1c组（平均HbA1c水平≤8%）的青少年对父母的监督角色评价更为积极，而高A1c组（平均HbA1c水平>8%）的青少年则对提醒感到厌烦，并表示与父母在不遵守糖尿病治疗方案方面存在更多冲突。临床医生需要评估亲子关系的质量，并提供适合青少年发展阶段的干预措施，以帮助青少年及其父母在青春期中期有效地协商与糖尿病管理相关的角色转变。
