Lo Fu-Sung, Hsu Hsiu-Yueh, Chen Bai-Hsiun, Lee Yann-Jinn, Chen Yu-Tsung, Wang Ruey-Hsia
Chung Gung University, Taiwan.
Hsin Sheng Junior College of Medical Care and Management, Taiwan.
J Child Health Care. 2016 Mar;20(1):5-16. doi: 10.1177/1367493514540815. Epub 2014 Jul 9.
Glycemic control and quality of life (QoL) are both considered indicators of health adaptation among adolescents with type 1 diabetes (T1D). The purpose of this study was to construct a path model addressing the influences of individual characteristics, school support, resilience, and self-care behaviors on glycated hemoglobin (HbA1c) and QoL among adolescents with T1D in Taiwan. This was a cross-sectional design study. A structured questionnaire was used to collect information on individual characteristics, school support, resilience, self-care behaviors, and QoL. The latest HbA1c was collected from medical records. Data from 238 adolescents with T1D were analyzed using structural equation modeling to test the hypothesized path model. The findings indicated that self-care behaviors and resilience both directly influenced HbA1c and QoL. School support directly influenced QoL but indirectly influenced HbA1c. We suggest that improving self-care behaviors and resilience could be considered an appropriate intervention for enhancing the health adaptation of adolescents with T1D. Increasing school support might be a strategy to improve QoL among adolescents with T1D.
血糖控制和生活质量（QoL）均被视为1型糖尿病（T1D）青少年健康适应的指标。本研究的目的是构建一个路径模型，以探讨个体特征、学校支持、心理韧性和自我护理行为对台湾T1D青少年糖化血红蛋白（HbA1c）和生活质量的影响。这是一项横断面设计研究。采用结构化问卷收集个体特征、学校支持、心理韧性、自我护理行为和生活质量方面的信息。从医疗记录中收集最新的HbA1c数据。使用结构方程模型对238名T1D青少年的数据进行分析，以检验假设的路径模型。研究结果表明，自我护理行为和心理韧性均直接影响HbA1c和生活质量。学校支持直接影响生活质量，但间接影响HbA1c。我们建议，改善自我护理行为和心理韧性可被视为增强T1D青少年健康适应的适当干预措施。增加学校支持可能是提高T1D青少年生活质量的一种策略。
