Rostaminasab Samira, Nematollahi Monirsadat, Jahani Yones, Mehdipour-Rabori Roghayeh
Nursing Research Center, Kerman University of Medical Sciences, Kerman, Iran.
Department of Pediatrics and Neonatal Intensive Nursing, Nursing Research Center, Kerman University of Medical Sciences, Kerman, Iran.
BMC Nurs. 2023 Jun 20;22(1):214. doi: 10.1186/s12912-023-01375-w.
Parents play a critical role in caring for their children with diabetes and bear a significant burden of care. Health education has increasingly focused on empowering parents through new strategic methods. The present study aims to investigate the impact of a family-centered empowerment model on the burden of care in parents and blood glucose levels of children with type I diabetes.
An interventional study was conducted in Kerman, Iran, where 100 children with type I diabetes and their parents were randomly selected as participants. The study aimed to implement a family-centered empowerment model in the intervention group, which consisted of four stages (educational phase, increasing self-efficacy, improving self-confidence, and evaluation) over a period of one month. The control group received routine training. The Zarit Caregiver Burden questionnaire and HbA1c log sheet were utilized to evaluate the effectiveness of the intervention. Questionnaires were administered before, after, and two months post-intervention, and data were analyzed using SPSS 15. Non-parametric tests were employed, and statistical significance was set at p < 0.05.
Before the study, no significant differences in demographic variables, level of burden of care, or HbA1C levels were observed between the two groups (p < 0.05). After the intervention, the burden of care score in the intervention group was significantly lower than that in the control group, both immediately post-intervention and two months later (P < 0.0001). Additionally, the median HbA1C levels in the intervention group were significantly lower than those in the control group after two months (6.5 in the intervention group and 9 in the control group) (P < 0.0001).
The findings of this study suggest that the implementation of a family-centered empowerment model is an effective strategy for reducing the burden of care on parents of children with type 1 diabetes and for controlling the HbA1C levels of these children. Based on these results, it is recommended that healthcare professionals consider incorporating this approach into their educational interventions.
父母在照顾患有糖尿病的孩子方面起着关键作用，并承担着重大的护理负担。健康教育越来越注重通过新的战略方法增强父母的能力。本研究旨在调查以家庭为中心的赋权模式对I型糖尿病患儿父母护理负担及患儿血糖水平的影响。
在伊朗克尔曼进行了一项干预性研究，随机选择100名I型糖尿病患儿及其父母作为参与者。该研究旨在对干预组实施以家庭为中心的赋权模式，该模式包括四个阶段（教育阶段、增强自我效能、提高自信心和评估），为期一个月。对照组接受常规培训。使用Zarit护理者负担问卷和糖化血红蛋白（HbA1c）记录表来评估干预效果。在干预前、干预后及干预后两个月进行问卷调查，并使用SPSS 15软件进行数据分析。采用非参数检验，设定统计学显著性水平为p < 0.05。
研究前，两组在人口统计学变量、护理负担水平或HbA1C水平方面均未观察到显著差异（p < 0.05）。干预后，干预组的护理负担得分在干预后即刻及两个月后均显著低于对照组（P < 0.0001）。此外，两个月后干预组的HbA1C水平中位数显著低于对照组（干预组为6.5，对照组为9）（P < 0.0001）。
本研究结果表明，实施以家庭为中心的赋权模式是减轻I型糖尿病患儿父母护理负担及控制患儿HbA1C水平的有效策略。基于这些结果，建议医疗保健专业人员考虑将这种方法纳入其教育干预措施中。
