Prasetyawati Arsita Eka, Probandari Ari, Claramita Mora, Julia Madarina
Faculty of Medicine, Public Health and Nursing Universitas Gadjah Mada, Yogyakarta, Indonesia.
Department of Public Health, Faculty of Medicine, Universitas Sebelas Maret, Surakarta, Indonesia.
Iran J Public Health. 2023 Jul;52(7):1320-1333. doi: 10.18502/ijph.v52i7.13234.
This review aimed to synthesize intervention models involving the role of adolescent and family support as part of comprehensive care to improve self-efficacy and self-management among adolescents with Diabetes Mellitus (DM).
A review was conducted to conform to Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews (PRISMA-ScR) standards. We searched PubMed, , databases, and grey literature. We included articles exploring family intervention models on improving self-efficacy and self-management among adolescents with DM, published from January 1, 2009, to June 30, 2022, and in English. Articles were declared eligible, reviewed critically, and then synthesized narratively.
We identified 487 abstracts and title records from the initial search and excluded 409 irrelevant studies. Sixty-six full-text articles were screened, and nine were included in the synthesis. Five articles presented findings from using models focusing on child and adolescent intervention, while in the remaining four articles, the intervention models involved adolescents and their caregivers or parents. Only two models provide comprehensive care that requires collaboration among healthcare providers, patients, and families. Adolescent self-efficacy and self-management schemes as intermediary variables are closely related to everything that can influence health behavior, metabolic control, and quality of life for adolescents, which requires support from a multidisciplinary collaborative team.
Excellent comprehensive care team collaboration involving family support is essential to increase the self-efficacy and self-management of adolescents with DM.
本综述旨在综合干预模型，其中包括青少年及家庭支持的作用，作为综合护理的一部分，以提高糖尿病（DM）青少年的自我效能感和自我管理能力。
进行了一项综述，以符合系统评价和Meta分析扩展的范围综述（PRISMA-ScR）标准。我们检索了PubMed、 数据库和灰色文献。我们纳入了2009年1月1日至2022年6月30日期间发表的、以英文撰写的、探讨改善DM青少年自我效能感和自我管理能力的家庭干预模型的文章。文章经判定合格后进行严格评审，然后进行叙述性综合分析。
我们从初始检索中识别出487篇摘要和标题记录，排除了409项不相关研究。对66篇全文进行了筛选，9篇被纳入综合分析。5篇文章介绍了使用聚焦于儿童和青少年干预模型的研究结果，而在其余4篇文章中，干预模型涉及青少年及其照料者或父母。只有两种模型提供了需要医疗保健提供者、患者和家庭之间合作的综合护理。青少年自我效能感和自我管理方案作为中介变量，与所有能够影响青少年健康行为、代谢控制和生活质量的因素密切相关，这需要多学科协作团队的支持。
优秀的涉及家庭支持的综合护理团队协作对于提高DM青少年的自我效能感和自我管理能力至关重要。
