应对技能训练对1型糖尿病学龄儿童的影响。
Effects of coping skills training in school-age children with type 1 diabetes.
作者信息
Grey Margaret, Whittemore Robin, Jaser Sarah, Ambrosino Jodie, Lindemann Evie, Liberti Lauren, Northrup Veronika, Dziura James
机构信息
Yale School of Nursing, 100 Church Street South, New Haven, CT 06536-0740, USA.
出版信息
Res Nurs Health. 2009 Aug;32(4):405-18. doi: 10.1002/nur.20336.
Abstract
Children with type 1 diabetes are at risk for negative psychosocial and physiological outcomes, particularly as they enter adolescence. The purpose of this randomized trial (n = 82) was to determine the effects, mediators, and moderators of a coping skills training intervention (n = 53) for school-aged children compared to general diabetes education (n = 29). Both groups improved over time, reporting lower impact of diabetes, better coping with diabetes, better diabetes self-efficacy, fewer depressive symptoms, and less parental control. Treatment modality (pump vs. injections) moderated intervention efficacy on select outcomes. Findings suggest that group-based interventions may be beneficial for this age group.
摘要
1型糖尿病患儿面临负面心理社会和生理后果的风险，尤其是在进入青春期时。这项随机试验（n = 82）的目的是确定与一般糖尿病教育（n = 29）相比，针对学龄儿童的应对技能培训干预（n = 53）的效果、中介因素和调节因素。两组随着时间的推移都有所改善，报告显示糖尿病影响降低、更好地应对糖尿病、糖尿病自我效能提高、抑郁症状减少以及父母控制减少。治疗方式（胰岛素泵与注射）调节了干预对某些结果的疗效。研究结果表明，基于小组的干预可能对该年龄组有益。
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