父母婚姻关系满意度可预测 1 型糖尿病患儿的血糖控制结果。
Parental marital relationship satisfaction predicts glycemic outcomes in children with type 1 diabetes.
机构信息
Department of Pediatrics, Section of Endocrinology, University of California Davis Medical Center, Sacramento, CA, USA.
Department of Psychological Science, University of Vermont, Burlington, VT, USA.
出版信息
J Pediatr Endocrinol Metab. 2022 Sep 6;35(10):1293-1297. doi: 10.1515/jpem-2022-0392. Print 2022 Oct 26.
OBJECTIVES
Glycemic outcomes in children with type 1 diabetes (T1D) vary widely, despite uniform care. We hypothesized that glycemic outcomes in children with T1D are affected by the marital relationship satisfaction of the child's parents.
METHODS
We evaluated a prospective sample of 51 families with a child with newly diagnosed T1D, including 36 married parent families. We assessed indicators of marital relationship satisfaction and used multiple regression models to determine whether marital relationship satisfaction at diagnosis was associated with mean HbA 18-24 months after diagnosis.
RESULTS
Marital status and parental relationship satisfaction at the time of the child's T1D diagnosis were associated with HbA 18-24 months later. These differences persisted after adjusting for demographic factors associated with glycemia.
CONCLUSIONS
The quality of the primary diabetes caregiver's relationship with a spouse predicts glycemic outcomes for children with T1D. Interventions to improve spousal relationships and caregiver support could improve glycemic control in children with T1D.
目的
尽管接受了统一的治疗，1 型糖尿病（T1D）患儿的血糖控制结果仍存在较大差异。我们假设，T1D 患儿的血糖控制结果受到患儿父母婚姻关系满意度的影响。
方法
我们评估了一个新诊断为 T1D 的患儿的前瞻性样本，包括 36 个已婚父母家庭。我们评估了婚姻关系满意度的指标，并使用多元回归模型来确定诊断时的婚姻关系满意度是否与诊断后 18-24 个月的平均 HbA1c 相关。
结果
患儿 T1D 诊断时的婚姻状况和父母关系满意度与 HbA1c 18-24 个月后有关。在调整了与血糖相关的人口统计学因素后，这些差异仍然存在。
结论
主要糖尿病照护者与配偶关系的质量预测了 T1D 患儿的血糖控制结果。改善配偶关系和照护者支持的干预措施可能会改善 T1D 患儿的血糖控制。
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