Hanna Kathleen M
Family Health Department, Indiana University School of Nursing, 1111 Middle Drive, NU451F, Indianapolis, IN 46202, USA.
Diabetes Educ. 2006 Sep-Oct;32(5):741-50. doi: 10.1177/0145721706291759.
The purpose of this article is to review existing measures of diabetes-specific support for use with adolescents with type 1 diabetes.
Diabetes-specific support scales for use with adolescents with type 1 diabetes were reviewed in terms of the dimension of support measured as well as reported reliability and validity.
The scales measure enacted and/or perceived support. However, various support categories are measured: supportive and nonsupportive by the Diabetes Family Behavior Checklist (DFBC); warmth and guidance/control by the Diabetes Family Behavior Scale (DFBS); instrumental, informational, companionship/belonging, and emotional by the Diabetes Social Support Interview (DSSI); insulin administration, glucose monitoring, meals, exercise, and emotional support by the Diabetes Social Support Questionnaire-Family Version (DSSQ-Family) and the Diabetes Social Support Questionnaire-Friends Version (DSSQ-Friends); and guidance for autonomy development by the Diabetes-Specific Parental Support for Adolescents' Autonomy Scale (DPSAAS). The DSSI, DSSQ-Family, DSSQ-Friends, the DFBS, and DPSAAS have adequate reliability. Predictive validity is suggested in that diabetes management was related to the DFBC supportive subscale, the DSSI, the DSSQ-Family, and the DSSQ-Friends; metabolic control was related to the DFBS total score and guidance subscale; and diabetes management responsibility was related to the DPSAAS.
Health care professionals need to decide which aspects of support are relevant to measure in their specific situation.
本文旨在综述现有的针对1型糖尿病青少年的糖尿病特异性支持措施。
对用于1型糖尿病青少年的糖尿病特异性支持量表进行了综述,内容涉及所测量的支持维度以及报告的信效度。
这些量表测量了实际给予的和/或感知到的支持。然而,所测量的支持类别各不相同:糖尿病家庭行为清单(DFBC)测量支持性和非支持性;糖尿病家庭行为量表(DFBS)测量温暖以及指导/控制;糖尿病社会支持访谈(DSSI)测量工具性、信息性、陪伴/归属感和情感性;糖尿病社会支持问卷-家庭版(DSSQ-Family)和糖尿病社会支持问卷-朋友版(DSSQ-Friends)测量胰岛素注射、血糖监测、饮食、运动和情感支持;青少年糖尿病特异性父母自主支持量表(DPSAAS)测量自主发展指导。DSSI、DSSQ-Family、DSSQ-Friends、DFBS和DPSAAS具有足够的信度。预测效度体现在糖尿病管理与DFBC支持性子量表、DSSI、DSSQ-Family和DSSQ-Friends相关;代谢控制与DFBS总分和指导性子量表相关;糖尿病管理责任与DPSAAS相关。
医疗保健专业人员需要决定在其特定情况下测量哪些支持方面。