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1型糖尿病患儿的应对策略与生活质量:一项初步研究

Coping Strategies and Quality of Life of Children with Type 1 Diabetes Mellitus: A Preliminary Study.

作者信息

Mulyasari Rina, Agustini Nur, Rustina Yeni

机构信息

a Puskesmas Cikajang , Garut , West Java , Indonesia.

b Pediatric Nursing Department of Faculty of Nursing , Universitas Indonesia , Depok , West Java , Indonesia.

出版信息

Compr Child Adolesc Nurs. 2019;42(sup1):217-225. doi: 10.1080/24694193.2019.1594453.

Abstract

This study was conducted to identify the correlations between the coping strategies and the quality of life of children with type 1 diabetes mellitus (T1DM). This cross-sectional study involved 39 children from 13 to 18 years old with T1DM who were selected using the consecutive sampling technique. The Pediatric Quality of Life Inventory 3.2 and Coping with a Disease questionnaire were used for this research, and the statistical analysis was conducted using the Pearson and Spearman correlation tests. The average age of the participants was 15.23 years old (± 1.81), they had been diagnosed with T1DM for an average of 5.54 years (± 3.06), and 59% were females. The most commonly used coping method was wishful thinking, and the quality of life mean was 63.82. The emotional reaction ( = 0.009, = -0.413) and acceptance ( = 0.049. = 0.317) coping strategies were significantly correlated with the quality of life. However, the other four coping strategies had no significant correlations with the quality of life. These study findings suggest that nurses should help to prevent children with T1DM from adopting emotional reactions as long-term coping mechanisms. Moreover, they should promote the use of the acceptance coping mechanism when providing nursing care for children with T1DM.

摘要

本研究旨在确定1型糖尿病(T1DM)患儿应对策略与生活质量之间的相关性。这项横断面研究纳入了39名年龄在13至18岁之间的T1DM患儿,采用连续抽样技术进行选取。本研究使用了儿童生活质量量表3.2版和应对疾病问卷,并采用Pearson和Spearman相关性检验进行统计分析。参与者的平均年龄为15.23岁(±1.81),他们被诊断为T1DM的平均时间为5.54年(±3.06),59%为女性。最常用的应对方式是如意算盘,生活质量均值为63.82。情绪反应(P = 0.009,r = -0.413)和接纳(P = 0.049,r = 0.317)应对策略与生活质量显著相关。然而,其他四种应对策略与生活质量无显著相关性。这些研究结果表明,护士应帮助预防T1DM患儿将情绪反应作为长期应对机制。此外,在为T1DM患儿提供护理时,他们应促进接纳应对机制的使用。

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