Benson Ailbhe, Rawdon Caroline, Tuohy Ella, Murphy Nuala, McDonnell Ciara, Swallow Veronica, Gallagher Pamela, Lambert Veronica
School of Nursing, Psychotherapy and Community Health, Faculty of Science and Health, Dublin City University, Dublin, Ireland.
School of Psychology, Faculty of Science and Health, Dublin City University, Dublin, Ireland.
Chronic Illn. 2024 Dec;20(4):669-683. doi: 10.1177/17423953231184423. Epub 2023 Jun 29.
This study investigated the relationship between parent-reported degree of openness and extent of problems in parent-adolescent communication and parent involvement in adolescent Type 1 diabetes management, parent and family wellbeing and adolescent glycaemic control.
A cross-sectional quantitative survey was conducted. Parents completed measures of parent-adolescent communication, parent monitoring of diabetes care, diabetes family responsibility, parent knowledge of diabetes care, parent activation, parent diabetes distress, and diabetes family conflict.
In total, 146 parents/guardians (121 mothers, mean age 46.56 years, SD 5.18) of adolescents aged 11-17 years (mean age 13.9 years, SD 1.81) with Type 1 diabetes completed the survey. Open parent-adolescent communication was significantly correlated to adolescents' voluntarily disclosing diabetes-specific information to their parents more frequently, increased parental knowledge of their adolescent's diabetes care completion, parents feeling more capable and willing to take action in relation to their adolescent's diabetes health, lower levels of diabetes-related parental distress, less diabetes-specific family conflict, and optimal glycaemic control.
Parent-adolescent communication has an important role to play in Type 1 diabetes healthcare management and psychosocial wellbeing during adolescence. Optimising open parent-adolescent communication represents a potentially useful target for interventional research and should be considered by healthcare professionals during healthcare encounters.
本研究调查了家长报告的开放程度与亲子沟通问题程度、家长参与青少年1型糖尿病管理情况、家长及家庭幸福感以及青少年血糖控制之间的关系。
进行了一项横断面定量调查。家长完成了关于亲子沟通、家长对糖尿病护理的监督、糖尿病家庭责任、家长对糖尿病护理的知识、家长积极性、家长糖尿病困扰以及糖尿病家庭冲突的测量。
共有146名11至17岁（平均年龄13.9岁，标准差1.81）1型糖尿病青少年的家长/监护人（121名母亲，平均年龄46.56岁，标准差5.18）完成了调查。开放的亲子沟通与青少年更频繁地自愿向家长透露糖尿病相关信息、家长对青少年糖尿病护理完成情况的了解增加、家长感觉更有能力且更愿意就青少年的糖尿病健康采取行动、较低水平的糖尿病相关家长困扰、较少的糖尿病特异性家庭冲突以及最佳血糖控制显著相关。
亲子沟通在青少年1型糖尿病医疗管理和心理社会幸福感方面发挥着重要作用。优化开放的亲子沟通是干预研究的一个潜在有用目标，医疗保健专业人员在医疗保健过程中应予以考虑。
