Toh Zhi Qi, Koh Serena Siew Lin, Lim Pei Kwee, Lim Joyce Soo Ting, Tam Wilson, Shorey Shefaly
Division of Nursing, KK Women's and Children's Hospital, Singapore.
Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore; National University Health System, Singapore.
Clin Nurs Res. 2021 Mar;30(3):311-321. doi: 10.1177/1054773819867252. Epub 2019 Aug 6.
Childhood diabetes is a rising concern as the overall annual increase in diabetes among children/adolescents is estimated to be around 3% over the past decade. Diabetes management places children/adolescents and their parents at greater risks of psychological distress. This study aims to measure the levels of diabetes-related emotional distress in children/adolescents with diabetes and their caregiving parents and to identify associations between sociodemographic characteristics and clinical variables in Singapore. A cross-sectional study was conducted using validated questionnaires. Ninety-two parent-child/adolescent dyads completed self-reported questionnaires. Elevated levels of diabetes-related distress were found in both children/adolescents with diabetes and their parents. Female children/adolescents with diabetes, low-income households, and less-educated parents of children/adolescents with diabetes were more susceptible to diabetes-related distress. It is important for healthcare professionals to educate less-educated parents in the management of their children's/adolescents' diabetes. Greater financial assistance should be provided to low-income households that may not have access to advanced diabetes treatments.
儿童糖尿病日益受到关注，因为在过去十年中，儿童/青少年糖尿病的总体年增长率估计约为3%。糖尿病管理使儿童/青少年及其父母面临更大的心理困扰风险。本研究旨在测量患有糖尿病的儿童/青少年及其照顾父母的糖尿病相关情绪困扰水平，并确定新加坡社会人口学特征与临床变量之间的关联。使用经过验证的问卷进行了一项横断面研究。92对亲子/青少年二元组完成了自我报告问卷。患有糖尿病的儿童/青少年及其父母的糖尿病相关困扰水平均有所升高。患有糖尿病的女童/青少年、低收入家庭以及患有糖尿病的儿童/青少年中受教育程度较低的父母更容易受到糖尿病相关困扰。医疗保健专业人员对受教育程度较低的父母进行儿童/青少年糖尿病管理教育非常重要。应向可能无法获得先进糖尿病治疗的低收入家庭提供更多经济援助。
