Baharvand Parastoo, Hormozi Maryam
Department of Social Medicine, School of Medicine, Lorestan University of Medical Sciences, Khorramabad, Iran.
Department of Biochemistry, School of Medicine, Lorestan University of Medical Sciences, Khorramabad, Iran.
J Educ Health Promot. 2019 Jan 29;8:11. doi: 10.4103/jehp.jehp_215_18. eCollection 2019.
BACKGROUND/AIM: Parents have an important role to play in supporting adolescents with type 1 diabetes mellitus (T1DM). Their education and occupation are important factors for the management of this disease. This study aimed to investigate the parental support that Iranian adolescents with T1DM experience and to examine the effect of parents' education and occupation on adolescents' perceived the parental support and metabolic control.
This is a cross-sectional survey. The participants were 98 adolescents (aged 11-18 years) with T1DM referred to Endocrinology Clinics of Shahid Rahimi and Shahid Madani hospitals in Khorramabad, Iran, in 2016. For evaluating the adolescents' perceptions of parental support, the family version of Diabetes Social Support Questionnaire was employed. It measures in five diabetic care areas (insulin administration, blood testing, meal planning, exercise, and emotional support). Data were analyzed in SPSS version 22 software using descriptive statistics and inferential tests including Pearson correlation test, ANOVA, and independent -test.
The parents' educational level had a significant relationship with adolescents' perceived parental support and hemoglobin A1c (HbA1c) level ( < 0.05). Occupation of father had no significant influence on his supportive behavior and HbA1c level in adolescents, but mother's occupation significantly influenced them ( < 0.05). In adolescents with higher perceived parental support, the mean HbA1c was lower.
Parents with higher educational level can improve the metabolic control and provide better meal planning in adolescents with T1DM.
背景/目的：父母在支持1型糖尿病（T1DM）青少年患者方面发挥着重要作用。他们的教育程度和职业是管理这种疾病的重要因素。本研究旨在调查伊朗T1DM青少年所感受到的父母支持，并检验父母的教育程度和职业对青少年所感受到的父母支持及代谢控制的影响。
这是一项横断面调查。研究对象为2016年转诊至伊朗霍拉马巴德市沙希德·拉希米医院和沙希德·马达尼医院内分泌科门诊的98名11 - 18岁的T1DM青少年。为评估青少年对父母支持的感知，采用了糖尿病社会支持问卷的家庭版。该问卷在五个糖尿病护理领域（胰岛素注射、血糖检测、饮食计划、运动和情感支持）进行测量。使用SPSS 22软件进行数据分析，采用描述性统计和推断性检验，包括Pearson相关检验、方差分析和独立样本t检验。
父母的教育水平与青少年所感受到的父母支持及糖化血红蛋白（HbA1c）水平有显著关系（P < 0.05）。父亲的职业对其支持行为及青少年的HbA1c水平无显著影响，但母亲的职业对其有显著影响（P < 0.05）。在感受到父母支持较高的青少年中，平均HbA1c较低。
教育水平较高的父母可以改善T1DM青少年的代谢控制，并提供更好的饮食计划。
