Johnson S B, Pollak R T, Silverstein J H, Rosenbloom A L, Spillar R, McCallum M, Harkavy J
Pediatrics. 1982 Jun;69(6):708-13.
Youngster's knowledge about insulin-dependent diabetes was assessed across three domains: (1) general information; (2) problem solving and (3) skill at urine testing and self-injection. These youngster's parents completed the general information and problem-solving components of the assessment battery. All test instruments were showed good reliability. The test of problem solving was more difficult than the test of general information for both parents and patients. Mothers were more knowledgeable than fathers and children. Girls performed more accurately than boys, and older children obtained better scores than did younger children. Nevertheless, more than 80% of the youngsters made significant errors on urine testing and almost 40% made serious errors in self-injection. A number of other knowledge deficits were also noted. Duration of diabetes was not related to any of the knowledge measures. Intercorrelations between scores on the assessment instruments indicated that skill at urine testing or self-injection was not highly related to other types of knowledge about diabetes. Furthermore, knowledge in one content are was not usually predictive of knowledge in another content area. The results of this study emphasize the importance of measuring knowledge from several different domains. Patient variables such as sex and age need to be given further consideration in the development and use of patient educational programs. Regular assessment of patients' and parents' knowledge of all critical aspects of diabetes home management seems essential.
（1）一般信息；（2）问题解决能力；（3）尿液检测和自我注射技能。这些青少年的父母完成了评估量表中的一般信息和问题解决部分。所有测试工具都显示出良好的可靠性。对于父母和患者而言，问题解决测试比一般信息测试更难。母亲比父亲和孩子更有知识。女孩的表现比男孩更准确，年龄较大的孩子比年龄较小的孩子得分更高。然而，超过80%的青少年在尿液检测上犯了重大错误，近40%的青少年在自我注射上犯了严重错误。还发现了一些其他知识缺陷。糖尿病病程与任何知识指标均无关联。评估工具得分之间的相互关系表明，尿液检测或自我注射技能与关于糖尿病的其他类型知识没有高度相关性。此外，一个内容领域的知识通常不能预测另一个内容领域的知识。本研究结果强调了从几个不同领域测量知识的重要性。在患者教育项目的开发和使用中，需要进一步考虑性别和年龄等患者变量。定期评估患者及其父母对糖尿病家庭管理所有关键方面的知识似乎至关重要。
