Guo Jia, Whittemore Robin, Jeon Sangchoon, Grey Margaret, Zhou Zhi-Guang, He Guo-Ping, Luo Zi-Qiang
School of Basic Medicine, Central South University, Changsha, Hunan Province, China; School of Nursing, Central South University, Changsha, Hunan Province, China.
J Clin Nurs. 2015 May;24(9-10):1258-68. doi: 10.1111/jocn.12698. Epub 2014 Sep 26.
To describe the patterns of diabetes self-management, depressive symptoms, metabolic control and satisfaction with quality of life over time in a cohort of Chinese youth with type 1 diabetes and to determine the relationships between these variables over time.
Nurses have an important role in facilitating optimal self-management and health outcomes in youth with type 1 diabetes. Only a few studies have focused on patterns of diabetes adaptation over time in youth with type 1 diabetes, especially in China. Understanding changes in diabetes self-management, depressive symptoms, metabolic control and satisfaction with quality of life can facilitate assessment and intervention.
This is a multi-site longitudinal descriptive study. Data for this report were collected at baseline with 136 eligible Chinese youth and 86 of them were followed up for the second time, 6-12 months after baseline data collection.
Instruments to measure diabetes self-management, depressive symptoms, metabolic control and satisfaction with quality of life were collected at two time points. The data were collected from July 2009-October 2010. Linear mixed model analysis was used to analyse the longitudinal data.
Self-management decreased over time; however, depressive symptoms, metabolic control and satisfaction with quality of life did not change from baseline to 6-12 months in this sample of Chinese youth with type 1 diabetes. A decrease in diabetes self-management over time was associated with worse metabolic control, while an increase in depressive symptoms over time was associated with poorer quality of life satisfaction in this sample.
Chinese youth faced difficulties with diabetes adaptation, especially with the deterioration of diabetes self-management. Improving self-management and decreasing depressive symptoms may enhance diabetes adaptation with respect to metabolic control and quality of life.
The deterioration of diabetes self-management over time in youth with type 1 diabetes in China deserves nurses' careful surveillance. Clinical interventions appropriate to the Chinese culture and health care system are needed to improve self-management and depressive symptoms in Chinese youth with type 1 diabetes.
描述中国1型糖尿病青年队列中糖尿病自我管理、抑郁症状、代谢控制和生活质量满意度随时间的变化模式，并确定这些变量随时间的关系。
护士在促进1型糖尿病青年的最佳自我管理和健康结果方面发挥着重要作用。只有少数研究关注1型糖尿病青年随时间的糖尿病适应模式，尤其是在中国。了解糖尿病自我管理、抑郁症状、代谢控制和生活质量满意度的变化有助于评估和干预。
这是一项多中心纵向描述性研究。本报告的数据在基线时收集了136名符合条件的中国青年，其中86人在基线数据收集后6至12个月进行了第二次随访。
在两个时间点收集测量糖尿病自我管理、抑郁症状、代谢控制和生活质量满意度的工具。数据收集于2009年7月至2010年10月。采用线性混合模型分析纵向数据。
随着时间的推移，自我管理能力下降；然而，在这个中国1型糖尿病青年样本中，从基线到6至12个月，抑郁症状、代谢控制和生活质量满意度没有变化。随着时间的推移，糖尿病自我管理能力的下降与代谢控制较差有关，而随着时间的推移抑郁症状的增加与该样本中较差的生活质量满意度有关。
中国青年在糖尿病适应方面面临困难，尤其是糖尿病自我管理的恶化。改善自我管理和减轻抑郁症状可能会增强糖尿病在代谢控制和生活质量方面的适应能力。
中国1型糖尿病青年中糖尿病自我管理随时间的恶化值得护士密切监测。需要适合中国文化和医疗保健系统的临床干预措施来改善中国1型糖尿病青年的自我管理和抑郁症状。
