Yale School of Nursing, New Haven, CT 06536, USA.
Curr Diab Rep. 2011 Dec;11(6):480-5. doi: 10.1007/s11892-011-0222-y.
Adaptation to type 1 diabetes is optimized in the presence of ongoing family support and supervision. Therefore, it is particularly important to understand how family interactions influence adaptation to the illness. The purpose of this paper is to review the current literature on family interaction in youth with type 1 diabetes. Recent advancements in the literature include greater specificity of types of parental involvement, attention to the role of fathers, acknowledgment of the impact of parental distress, increased use of observational methods, and awareness of the impact of culture. Continued parental involvement-particularly monitoring-in the management of diabetes care is important as children transition into adolescence, and the best outcomes are evident when this involvement occurs in a warm, collaborative manner. Parents need support in managing their own distress to maintain this type of involvement.
在持续的家庭支持和监督下，1 型糖尿病患者的适应能力得到了优化。因此，了解家庭互动如何影响对疾病的适应尤为重要。本文旨在回顾 1 型糖尿病青少年家庭互动的现有文献。文献中的最新进展包括更具体的父母参与类型、关注父亲的角色、认识到父母痛苦的影响、更多地使用观察方法以及认识到文化的影响。随着孩子进入青春期，父母继续参与管理糖尿病护理——特别是监测——非常重要，当这种参与以温暖、协作的方式进行时，效果最佳。父母需要支持来管理自己的痛苦，以保持这种参与。
