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埃及母亲的知识和应对策略对其患糖尿病子女血糖控制的影响。

Effects of Mothers' Knowledge and Coping Strategies on the Glycemic Control of Their Diabetic Children in Egypt.

作者信息

Mahfouz Eman Mohamed, Kamal Nashwa Nabil, Mohammed Eman Sameh, Refaei Sara Ahmed

机构信息

Department of Public Health and Preventive Medicine, Faculty of Medicine, Minia University, Minia, Egypt.

出版信息

Int J Prev Med. 2018 Mar 9;9:26. doi: 10.4103/ijpvm.IJPVM_336_17. eCollection 2018.

DOI:10.4103/ijpvm.IJPVM_336_17
PMID:29619150
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5869960/
Abstract

BACKGROUND

This study aimed to examine the relationship between mothers' knowledge related to treatment management of type 1 diabetes (T1D), with perceptions of coping with diabetes-related stress and to examine the relationship between children's metabolic control and maternal coping. A cross-sectional study was done among ninety-two mothers of T1D children.

METHODS

Data were collected using a structured questionnaire, Ways of coping questionnaire (WCQ), and Diabetes Knowledge questionnaire-24 (DKQ-24).

RESULTS

The most important predictors of the total knowledge scores among mothers were father education ( < 0.0001), followed by child age and sex ( < 0.0001), while the most important coping scales affected by total knowledge scores was accepting responsibility ( = 0.01). There were positive correlation between HBA1C and escape-avoidance and positive reappraisal coping scales ( = 0.24, = 0.02 and = 0.23, = 0.02, respectively). Blood glucose level was the most important clinical characteristics affecting the use of seeking social support coping scale among mothers.

CONCLUSIONS

Parents with more knowledge of diabetes and with better education were able to cope more effective and maintain a better glycemic control of their diabetic children.

摘要

背景

本研究旨在探讨1型糖尿病(T1D)患儿母亲的治疗管理知识与应对糖尿病相关压力认知之间的关系,并研究患儿的代谢控制与母亲应对方式之间的关系。对92名T1D患儿的母亲进行了一项横断面研究。

方法

使用结构化问卷、应对方式问卷(WCQ)和糖尿病知识问卷-24(DKQ-24)收集数据。

结果

母亲总体知识得分的最重要预测因素是父亲的教育程度(<0.0001),其次是孩子的年龄和性别(<0.0001),而受总体知识得分影响最大的应对量表是承担责任(=0.01)。糖化血红蛋白(HBA1C)与逃避-回避应对量表和积极重新评价应对量表之间存在正相关(分别为=0.24,=0.02和=0.23,=0.02)。血糖水平是影响母亲使用寻求社会支持应对量表的最重要临床特征。

结论

对糖尿病知识了解更多且教育程度更高的父母能够更有效地应对,使其糖尿病患儿维持更好的血糖控制。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/275c/5869960/f155b129a8ab/IJPVM-9-26-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/275c/5869960/f155b129a8ab/IJPVM-9-26-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/275c/5869960/f155b129a8ab/IJPVM-9-26-g002.jpg

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