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本文引用的文献

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Use of missing data methods in longitudinal studies: the persistence of bad practices in developmental psychology.纵向研究中缺失数据方法的使用：发展心理学中不良做法的持续存在。
Dev Psychol. 2009 Jul;45(4):1195-9. doi: 10.1037/a0015665.
2
Validity and reliability of an adolescent and parent rating scale of type 1 diabetes adherence behaviors: the Self-Care Inventory (SCI).1型糖尿病依从行为青少年及家长评定量表的效度与信度：自我护理量表（SCI）
J Pediatr Psychol. 2009 Oct;34(9):999-1007. doi: 10.1093/jpepsy/jsp032. Epub 2009 May 7.
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Views of treatment decision making from adolescents with chronic illnesses and their parents: a pilot study.慢性病青少年及其父母对治疗决策的看法：一项试点研究。
Health Expect. 2008 Dec;11(4):343-54. doi: 10.1111/j.1369-7625.2008.00508.x.
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Asymptotic and resampling strategies for assessing and comparing indirect effects in multiple mediator models.用于评估和比较多重中介模型中间接效应的渐近和重抽样策略。
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5
Physician recommendations about maternal involvement in adolescent diabetes management.医生关于母亲参与青少年糖尿病管理的建议。
Diabetes Care. 2008 Apr;31(4):690-2. doi: 10.2337/dc07-1618. Epub 2008 Jan 9.
6
A shared decision-making primary care intervention for type 2 diabetes.一项针对2型糖尿病的共同决策基层医疗干预措施。
Diabetes Educ. 2007 Jul-Aug;33(4):700-8. doi: 10.1177/0145721707304086.
7
Evaluating deliberation in pediatric primary care.评估儿科初级保健中的审议情况。
Pediatrics. 2007 Jul;120(1):e68-77. doi: 10.1542/peds.2006-2602.
8
Self-efficacy, outcome expectations, and diabetes self-management in adolescents with type 1 diabetes.1型糖尿病青少年的自我效能、结果期望与糖尿病自我管理
J Dev Behav Pediatr. 2006 Apr;27(2):98-105. doi: 10.1097/00004703-200604000-00003.
9
Brief interventions and motivational interviewing with children, adolescents, and their parents in pediatric health care settings: a review.儿科医疗环境中针对儿童、青少年及其父母的简短干预和动机性访谈：一项综述。
Arch Pediatr Adolesc Med. 2005 Dec;159(12):1173-80. doi: 10.1001/archpedi.159.12.1173.
10
Predictors of youth diabetes care behaviors and metabolic control: a structural equation modeling approach.青少年糖尿病护理行为和代谢控制的预测因素：一种结构方程建模方法。
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青少年和家长在管理 1 型糖尿病时对以患者为中心的沟通的看法。

Adolescent and parent perceptions of patient-centered communication while managing type 1 diabetes.

机构信息

Department of Psychiatry, University of Texas Southwestern Medical Center, 5323 Harry Hines Boulevard, Dallas, TX, USA.

出版信息

J Pediatr Psychol. 2011 Mar;36(2):206-15. doi: 10.1093/jpepsy/jsq072. Epub 2010 Aug 17.

DOI:10.1093/jpepsy/jsq072
PMID:20719752
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3042600/
Abstract

OBJECTIVE

To examine whether adolescents' and parents' perceptions of patient-centered communication (PCC) with the physician may be associated with aspects of patient empowerment (e.g., perceptions of competence) and diabetes management (i.e., adherence and HbA1c).

METHODS

One hundred and ninety adolescents with type 1 diabetes and their parents rated perceptions of PCC following a clinic visit and completed measures of competence, illness perceptions, self-efficacy, and adherence in the weeks following their clinic visit, and again 6 months later. Metabolic control was indexed from medical records.

RESULTS

Higher levels of PCC with physicians were associated cross-sectionally and longitudinally with greater perceptions of control and competence for both adolescents and parents. Mediation analyses indicated that PCC was indirectly related to subsequent adherence and metabolic control through perceptions of the adolescent's competence in diabetes management.

CONCLUSIONS

Perceptions of PCC with healthcare providers may empower adolescents and parents in their diabetes management.

摘要

目的

探讨青少年和家长对与医生进行以患者为中心的沟通（PCC）的看法是否与患者赋权（如能力感知）和糖尿病管理（即依从性和 HbA1c）的各个方面相关。

方法

190 名患有 1 型糖尿病的青少年及其家长在就诊后对 PCC 的看法进行了评分，并在就诊后的几周内以及 6 个月后完成了对能力、疾病认知、自我效能和依从性的测量，代谢控制则从病历中获得。

结果

青少年和家长对医生的 PCC 水平越高，他们对自身控制和能力的感知就越高。中介分析表明，PCC 通过对青少年在糖尿病管理方面的能力感知，间接地与随后的依从性和代谢控制相关。

结论

与医疗服务提供者的 PCC 感知可能会增强青少年及其家长在糖尿病管理方面的能力。