La Greca A M, Auslander W F, Greco P, Spetter D, Fisher E B, Santiago J V
University of Miami, Coral Gables, Florida 33124, USA.
J Pediatr Psychol. 1995 Aug;20(4):449-76. doi: 10.1093/jpepsy/20.4.449.
Evaluated and compared the support provided by family members and friends for adolescents' diabetes care. Family and friend support also were examined in relation to other measures of social support, to demographic variables (age, gender, duration of diabetes) and to adherence. Using a structured interview, 74 adolescents with diabetes described the ways that family members and friends provided support for diabetes management (insulin shots, blood glucose monitoring, eating proper meals, exercise), and for helping them to "feel good about their diabetes." Families provided more support than friends for three management tasks (insulin injections, blood glucose monitoring, meals); this support was largely instrumental. In contrast, friends provided more emotional support for diabetes than families. Greater family support was related to younger age, shorter disease duration, and better treatment adherence. Implications of the findings include encouraging parents to remain involved in adolescents' treatment management, and involving peers as supportive companions for meals and exercise.
评估并比较了家庭成员和朋友为青少年糖尿病护理提供的支持。还研究了家庭和朋友的支持与其他社会支持指标、人口统计学变量（年龄、性别、糖尿病病程）以及依从性之间的关系。通过结构化访谈，74名患有糖尿病的青少年描述了家庭成员和朋友为糖尿病管理（胰岛素注射、血糖监测、合理饮食、锻炼）以及帮助他们“对自己的糖尿病感觉良好”所提供支持的方式。在三项管理任务（胰岛素注射、血糖监测、饮食）方面，家庭提供的支持比朋友更多；这种支持主要是工具性的。相比之下，朋友为糖尿病提供的情感支持比家庭更多。更多的家庭支持与年龄较小、病程较短以及更好的治疗依从性相关。研究结果的意义包括鼓励父母继续参与青少年的治疗管理，并让同龄人作为饮食和锻炼的支持伙伴参与进来。
