Pulgarón Elizabeth R, Sanders Lee M, Patiño-Fernandez Anna Maria, Wile Diana, Sanchez Janine, Rothman Russell L, Delamater Alan M
Department of Clinical Pediatrics, University of Miami, Miller School of Medicine, Miami, USA.
Department of Pediatrics, Stanford University School of Medicine, Stanford, USA.
Patient Educ Couns. 2014 Jan;94(1):67-70. doi: 10.1016/j.pec.2013.09.002. Epub 2013 Sep 12.
This cross sectional study examined the relationship between parental health literacy (HL), diabetes related numeracy, and parental perceived diabetes self-efficacy on glycemic control in a sample of young children with Type 1 DM.
Seventy primary caregivers of children (age 3-9 years) with Type 1 DM were recruited and surveyed at diabetes outpatient clinic visits. Patients' medical histories were obtained by medical chart review.
Parental diabetes related numeracy (r=-.52, p<01), but not reading skills (r=-.25, p=NS) were inversely correlated with the child's glycemic control (HbA1c). Parental perceived diabetes self-efficacy was also negatively correlated to their child's HbA1c (r=-.47, p<01). When numeracy and parental perceived diabetes self-efficacy were included as predictors of HbA1c, the model was significant (F=12.93, p<.01) with both numeracy (β=-.46, p<.01) and parental perceived diabetes self-efficacy (β=-.36, p=.01) as significant predictors of HbA1c.
Data from this study highlight the importance of considering the role of parental numeracy, in health outcomes for children with Type 1 DM.
Practitioners should assess parental health literacy and consider intervention when needed.
本横断面研究在一组1型糖尿病幼儿样本中，考察了父母健康素养（HL）、糖尿病相关算术能力以及父母感知的糖尿病自我效能感与血糖控制之间的关系。
招募了70名1型糖尿病患儿（3 - 9岁）的主要照顾者，并在糖尿病门诊就诊时对其进行调查。通过查阅病历获取患者的病史。
父母的糖尿病相关算术能力（r = -0.52，p < 0.01）与孩子的血糖控制（糖化血红蛋白）呈负相关，而阅读技能（r = -0.25，p = 无统计学意义）则不然。父母感知的糖尿病自我效能感也与孩子的糖化血红蛋白呈负相关（r = -0.47，p < 0.01）。当将算术能力和父母感知的糖尿病自我效能感作为糖化血红蛋白的预测因素时，模型具有显著性（F = 12.93，p < 0.01），其中算术能力（β = -0.46，p < 0.01）和父母感知的糖尿病自我效能感（β = -0.36，p = 0.01）均为糖化血红蛋白的显著预测因素。
本研究数据凸显了考虑父母算术能力在1型糖尿病患儿健康结局中的作用的重要性。
从业者应评估父母的健康素养，并在需要时考虑进行干预。
