父亲参与青少年前期糖尿病患者的遵医行为和血糖控制。
Fathers' involvement in preadolescents' diabetes adherence and glycemic control.
机构信息
Cincinnati Children's Hospital Medical Center, Cincinnati, OH 45229, USA.
出版信息
J Pediatr Psychol. 2011 Sep;36(8):911-22. doi: 10.1093/jpepsy/jsr020. Epub 2011 Apr 22.
Abstract
OBJECTIVE
To examine the relationship of paternal involvement in diabetes care with adherence and glycemic control.
METHODS
One hundred and thirty-six mothers and fathers of preadolescents (aged 9-12 years) with type 1 diabetes reported on paternal involvement. Adherence was measured by interview and blood glucose meter downloads. Mothers' and fathers' ratings of paternal involvement in diabetes care were compared. We evaluated three structural equation models linking paternal involvement with adherence and glycemic control.
RESULTS
Mothers and fathers reported similar amounts of paternal involvement, yet mothers rated paternal involvement as more helpful. The data supported a model indicating links between more paternal involvement and higher HbA1c and between lower adherence and higher HbA1c. Mediation and moderation models were not supported.
DISCUSSION
Although paternal involvement was not directly associated with treatment adherence, it was associated with poorer glycemic control. Some fathers may increase their involvement in response to suboptimal glycemic outcomes.
摘要
目的
探讨父亲在糖尿病照护中的参与程度与依从性和血糖控制之间的关系。
方法
136 名患有 1 型糖尿病的青少年（9-12 岁）的母亲和父亲报告了父亲的参与情况。依从性通过访谈和血糖仪下载进行测量。比较了母亲和父亲对父亲参与糖尿病护理的评价。我们评估了三个结构方程模型，将父亲的参与与依从性和血糖控制联系起来。
结果
母亲和父亲报告的父亲参与程度相似，但母亲认为父亲的参与更有帮助。数据支持一个模型，表明更多的父亲参与与更高的 HbA1c 之间存在联系，以及更低的依从性与更高的 HbA1c 之间存在联系。中介和调节模型均不支持。
讨论
尽管父亲的参与与治疗依从性没有直接关联，但与血糖控制不佳有关。一些父亲可能会因为血糖控制不佳而增加他们的参与。
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