Lawler M K, Volk R, Viviani N, Mengel M B
Matern Child Nurs J. 1990 Winter;19(4):331-45.
The focus of this preliminary study is the impact of family and individual factors on diabetes control for the adolescent. Adolescents between the age of 15 and 18 years and their parents participated in this study. Questionnaires completed by subjects included FACES III, FILE, Social Support Inventory, and the Kvebaek Family Sculptures. Diabetic control was determined by measuring glycosylated hemoglobin. Subjects were asked to identify how they perceived family cohesion, family dysfunction, relationship distance, and social support. Initial analysis, utilizing bivariate correlations because of the small sample size, revealed statistically significant correlations between the adolescent's perception of family cohesion and diabetes control. Moreover, the more dysfunctional the parents perceived the family system, the worse the diabetic control of the adolescent. Adolescents with better diabetic control had fathers who perceived a greater distance between the mother-father relationship as well as a greater distance between the ideal father-patient relationship. Patients who perceived their mothers as nonsupportive experienced worse diabetic control. Yet patients who perceived they had more social support experienced better control of their diabetes. The more disengaged the family system, the worse the diabetic control for the adolescent.
这项初步研究的重点是家庭和个体因素对青少年糖尿病控制的影响。15至18岁的青少年及其父母参与了这项研究。受试者填写的问卷包括FACES III、FILE、社会支持量表和克韦贝克家庭雕塑问卷。通过测量糖化血红蛋白来确定糖尿病控制情况。受试者被要求指出他们如何看待家庭凝聚力、家庭功能障碍、关系距离和社会支持。由于样本量较小，最初采用双变量相关性分析，结果显示青少年对家庭凝聚力的认知与糖尿病控制之间存在统计学上的显著相关性。此外，父母认为家庭系统功能障碍越严重，青少年的糖尿病控制情况就越差。糖尿病控制较好的青少年的父亲认为父母之间的关系距离以及理想中的父子关系距离更大。认为母亲不给予支持的患者，其糖尿病控制情况较差。然而，认为自己获得更多社会支持的患者，其糖尿病控制情况更好。家庭系统越疏离，青少年的糖尿病控制情况就越差。
