父母双方关于糖尿病管理的信息不一致：与糖尿病特定家庭冲突和血糖控制有关。
Mother-father informant discrepancies regarding diabetes management: associations with diabetes-specific family conflict and glycemic control.
机构信息
Department of Pediatrics, Alfred I. duPont Hospital for Children, Wilmington, DE 19899, USA.
出版信息
Health Psychol. 2012 Sep;31(5):571-9. doi: 10.1037/a0029006. Epub 2012 Jul 23.
Abstract
OBJECTIVE
To examine the relationship of mother-father informant discrepancies regarding diabetes management to diabetes-specific family conflict and glycemic control.
METHODS
One hundred thirty-six mothers and fathers of youth with Type 1 diabetes reported on the youth's diabetes management, diabetes-specific family conflict, and amount of paternal involvement in diabetes care. Glycosylated hemoglobin A1c (HbA1c) was used to measure glycemic control.
RESULTS
As hypothesized, mother-father discrepancies regarding diabetes management were positively associated with frequency of diabetes-specific family conflict. Contrary to hypotheses, mother-father discrepancies regarding diabetes management predicted poorer glycemic control for youth with less involved fathers only.
CONCLUSIONS
Results highlight the importance of caregivers being consistent about pediatric illness management and support the idea that informant discrepancies represent an important window into the functioning of the family system.
摘要
目的
研究父母双方在糖尿病管理方面的信息差异与糖尿病相关家庭冲突和血糖控制之间的关系。
方法
136 名青少年 1 型糖尿病患者的母亲和父亲报告了青少年的糖尿病管理、糖尿病相关家庭冲突以及父亲参与糖尿病护理的程度。糖化血红蛋白 A1c（HbA1c）用于衡量血糖控制水平。
结果
正如假设的那样，父母双方在糖尿病管理方面的信息差异与糖尿病相关家庭冲突的频率呈正相关。与假设相反，父母双方在糖尿病管理方面的信息差异仅对父亲参与度较低的青少年的血糖控制产生负面影响。
结论
结果强调了照顾者在儿童疾病管理方面保持一致的重要性，并支持信息差异代表了家庭系统功能的重要窗口这一观点。
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