Psychology Research Centre (CIPsi), School of Psychology, University of Minho, Braga, Portugal.
School of Psychology, University of Minho, Braga, Portugal.
Nurs Health Sci. 2023 Sep;25(3):456-465. doi: 10.1111/nhs.13042. Epub 2023 Aug 28.
This study analyzed the relationship between clinical and demographic variables, family support, school support, and adherence on adolescents' metabolic control and quality of life (QoL) based on Adaptation to Chronic Disease in Childhood's model. The sample included 100 adolescents and 100 parents. Adolescents were assessed on adherence, family support, school support, and QoL. Parents were assessed on family functioning and parental coping. A path analysis was performed to assess the adequacy of the theoretical model to the sample. Daily glycemic monitoring was associated with better metabolic control and diabetes hospitalizations with worse metabolic control. The final model showed adherence, family support, school support, and family functioning having an indirect effect on the relationship between adolescence stage, number of daily glycemic monitorings, number of hospitalizations, and metabolic control/QoL. Adherence had an indirect effect on the relationship between glycemic monitoring and family and school support, suggesting that adolescents need both types of support to perform diabetes self-care tasks. QoL showed a direct effect on metabolic control revealing the importance of QoL in the design of interventions to promote metabolic control in adolescents.
本研究基于儿童慢性疾病适应模型分析了临床和人口统计学变量、家庭支持、学校支持和依从性与青少年代谢控制和生活质量（QoL）之间的关系。样本包括 100 名青少年和 100 名家长。对青少年进行了依从性、家庭支持、学校支持和 QoL 的评估。对家长进行了家庭功能和父母应对能力的评估。进行路径分析以评估理论模型对样本的适宜性。每日血糖监测与更好的代谢控制相关，而糖尿病住院与更差的代谢控制相关。最终模型显示，依从性、家庭支持、学校支持和家庭功能对青少年阶段、每日血糖监测次数、住院次数和代谢控制/QoL 之间的关系具有间接影响。依从性对血糖监测与家庭和学校支持之间的关系具有间接影响，表明青少年需要这两种类型的支持来执行糖尿病自我护理任务。QoL 对代谢控制有直接影响，揭示了 QoL 在设计干预措施以促进青少年代谢控制方面的重要性。
