Ispriantari Aloysia, Agustina Rismia, Konlan Kennedy Diema, Lee Hyejung
Graduate Student, College of Nursing ․ Mo-Im Kim Nursing Research Institute, Yonsei University, Seoul, Korea ․ Assistant Professor, Department of Nursing, Institute of Technology and Health Science, Malang, Indonesia.
Graduate Student, Department of Nursing, College of Medicine, National Cheng Kung University, Tainan, Taiwan ․ Assistant Professor, School of Nursing, Faculty of Medicine, Lambung Mangkurat University, Banjarbaru, Indonesia.
Child Health Nurs Res. 2023 Jan;29(1):7-23. doi: 10.4094/chnr.2023.29.1.7. Epub 2023 Jan 31.
The purpose of this study was to investigate the effect of family-centered interventions on improving health outcomes in children and adolescents with type 1 diabetes mellitus (T1DM).
A literature search was conducted according to the PRISMA guidelines, using six electronic databases: EMBASE, CINAHL, Medline, CENTRAL, Scopus, and Web of Science. The inclusion criteria encompassed studies with populations of children and adolescents (age <18 years) and at least one parent/caregiver, or only parents/caregivers if the children were very young, and studies that investigated the health outcomes of children and parents/caregivers diagnosed with T1DM.
From 2,746 published studies, only nine studies met the inclusion criteria. The key interventions were non-technology-based interventions (n=4), technology-based interventions (n=2), and combined technology- and non-technologybased interventions (n=3). The interventions had effects on glycated hemoglobin, adherence to diabetes management, diabetes self-management behaviors, and parentchild teamwork in diabetes management. Other essential effects were children's quality of life, children's problem-solving skills, parents' quality of life, and parents' coping and depression.
Family-centered interventions can effectively improve health outcomes in children and adolescents with T1DM. In the future, family-centered interventions integrated with other approaches, theories, and models should be developed to achieve the best possible outcomes.
本研究旨在探讨以家庭为中心的干预措施对改善1型糖尿病（T1DM）儿童和青少年健康结局的影响。
根据PRISMA指南进行文献检索，使用六个电子数据库：EMBASE、CINAHL、Medline、CENTRAL、Scopus和Web of Science。纳入标准包括针对儿童和青少年（年龄<18岁）及至少一名父母/照顾者的研究，如果儿童非常年幼则仅针对父母/照顾者，以及调查被诊断为T1DM的儿童和父母/照顾者健康结局的研究。
从2746项已发表的研究中，只有9项研究符合纳入标准。关键干预措施包括非技术型干预（n = 4）、技术型干预（n = 2）以及技术与非技术相结合的干预（n = 3）。这些干预措施对糖化血红蛋白、糖尿病管理依从性、糖尿病自我管理行为以及糖尿病管理中的亲子协作产生了影响。其他重要影响包括儿童的生活质量、儿童的问题解决能力、父母的生活质量以及父母的应对方式和抑郁情况。
以家庭为中心的干预措施可有效改善T1DM儿童和青少年的健康结局。未来，应开发将以家庭为中心的干预措施与其他方法、理论和模型相结合的干预措施，以实现最佳效果。
