1型糖尿病青少年及其父母之间的管理责任:一项综合综述

IF 1.2 4区 医学 Q3 NURSING
Pamela Farthing RN, BA, MSc, PHD(c), Jill Bally RN, PHD, Donna C. Rennie RN, (Ret.), PHD, Marie Dietrich Leurer RN, PHD, Lorraine Holtslander RN, PHD, Munier A. Nour MD, FRCP
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引用次数: 4

摘要

目的1型糖尿病青少年的糖尿病自我管理是一个复杂的、多方面的过程,需要仔细考虑支持性或共享的护理方法。本综述的目的是综合定性和定量证据,以了解青少年与父母在T1D管理中的互动和关系的性质。特别令人感兴趣的是相互依存在这种关系中的作用。方法采用Whittemore和Knafl(2005)的方法学策略,对2021年1月至2021年4月期间的文献进行综合综述。结果2003年至2018年间发表的11项研究符合审查标准。主题分析确定了以下三个与父母-青少年照料关系相关的主题,包括父母参与和T1D管理的有效性、共同责任和T1D任务管理,以及在T1D管理中获得独立性。这篇综述强调了父母和青少年共同参与T1D管理的重要性。特别是,父母的参与对于改善血糖控制,更好地遵守T1D管理制度,以及练习T1D青少年的自我管理是必要的。更好地了解糖尿病护理中父母与孩子之间的相互作用,将为家庭护士提供重要信息,帮助他们识别、支持并帮助维持父母与青少年之间分担T1D管理责任。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Type 1 diabetes management responsibilities between adolescents with T1D and their parents: An integrative review

Purpose

Diabetes self-management for adolescents with type 1 diabetes (T1D) is a complex and multifaceted process that requires careful consideration of a supportive or shared approach to care. The purpose of this review was to synthesize the qualitative and quantitative evidence regarding the nature of adolescent−parent interactions and relationships in the context of T1D management. Of particular interest was the role of interdependence in this relationship.

Methods

An integrative review of the literature was conducted between January 2021 and April 2021 using Whittemore and Knafl's (2005) methodological strategies.

Results

Eleven studies published between 2003 and 2018 met the review criteria. Thematic analysis identified the following three themes related to parent−adolescent relationships in care including the Effectiveness of Parental Involvement and T1D Management, Shared Responsibility and T1D Task Management, and Gaining Independence in T1D Management. This review highlights the importance of both parent and adolescent shared involvement in T1D management. In particular, parental involvement appears necessary for improved glycemic control, better adherence to the T1D management regime, and for practicing self-management in adolescents with T1D.

Practice Implications

Better understanding of the parent−child interaction in diabetes care will provide important information to aid family nurses to identify, support, and help maintain the sharing of T1D management responsibilities between parents and their adolescents.

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来源期刊
CiteScore
2.50
自引率
7.70%
发文量
27
审稿时长
>12 weeks
期刊介绍: Linking science and practice by publishing evidence-based information on pediatric nursing and answering the question, ''How might this information affect nursing practice?'' The Journal for Specialists in Pediatric Nursing (JSPN) is the international evidence-based practice journal for nurses who specialize in the care of children and families. JSPN bridges the gap between research and practice by publishing peer-reviewed reliable, clinically relevant, and readily applicable evidence. The journal integrates the best evidence with pediatric nurses'' passion for achieving the best outcomes. The journal values interdisciplinary perspectives and publishes a wide variety of peer-reviewed papers on clinically relevant topics.
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