约旦 1 型糖尿病青少年自我护理管理的相关社会心理因素。

IF 2.1 4区医学 Q2 NURSING

Journal of Pediatric Nursing-Nursing Care of Children & Families Pub Date : 2024-11-22 DOI:10.1016/j.pedn.2024.11.013

Malakeh Z. Malak RN, Ph.D , Hasan Abualruz RN, Ph.D , Anas Shehadeh RN, Ph.D

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引用次数: 0

摘要

研究目的在包括约旦在内的发展中国家，很少有研究探讨焦虑症状、抑郁症状、自我效能感和社会支持变量与 1 型糖尿病之间的相关性。因此，本研究旨在评估这些社会心理因素与约旦 1 型糖尿病青少年自我护理管理之间的相关性：本研究采用横断面描述性相关设计，研究对象为在约旦安曼省初级医疗保健中心诊所和医院相关糖尿病诊所就诊的 14-18 岁 1 型糖尿病青少年（N = 351）。研究采用便利抽样法招募参与者。数据是在 2023 年 6 月至 12 月期间通过自我报告问卷收集的：结果显示，约 61.0% 的样本为男性，39% 为女性，74.9% 的参与者患有 1 型糖尿病超过一年。只有 4.3% 的参与者的 HbA1c 符合建议值（小于 7.5%）。参与者的焦虑和抑郁症状比例较高，自我效能感较差，社会支持度一般，自我护理管理水平较低。自我效能感、社会支持和自我护理管理之间存在相关性。此外，社会支持也是自我效能感和自我护理管理之间关系的中介。然而，焦虑和抑郁症状与自我护理管理之间不存在任何关系：结论：焦虑和抑郁症状筛查应成为门诊治疗 1 型糖尿病青少年的一项重要内容。政策制定者和医护人员（包括儿科护士）应制定自我护理管理策略和教育计划，以加强1型糖尿病青少年的自我护理实践和管理。

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Psychosocial factors correlating self-care management among Jordanian adolescents with type 1 diabetes

Purpose

Few studies were conducted to examine the correlation between the anxiety symptoms, depressive symptoms, self-efficacy, and social support variables and type 1 diabetes in developing countries, including Jordan. Thus, this study was conducted to assess the correlation between these psychosocial factors and self-care management among Jordanian adolescents with type 1 diabetes.

Design & methods

A cross-sectional, descriptive correlational design was used to perform a study among adolescents with type 1 diabetes (N = 351) aged 14–18 years who attended primary healthcare centers clinics, and diabetic clinics related to hospitals in Amman Governorate, Jordan. A convenience sampling method was used to recruit participants. The data were collected using self-reported questionnaire during the period from June to December 2023.

Findings

The results revealed that around 61.0 % of the sample were males and 39 % female, and 74.9 % of the participants experienced type 1 diabetes for more than one year. Only, 4.3 % of the participants had the recommended HbA1c (< 7.5 %). The participants had high percentage anxiety and depressive symptoms, poor self-efficacy, moderate social support, and low self-care management. There was a correlation between self-efficacy, social support, and self-care management. Also, social support mediated the relationship between self-efficacy and self-care management. However, no relationship existed between anxiety and depressive symptoms and self-care management.

Conclusion

Screening for anxiety and depressive symptoms should be a significant element of care for adolescents with type 1 diabetes in outpatient clinics. Policymakers and healthcare professionals including pediatric nurses should develop strategies and education programs on self-care management to enhance self-care practices and management for adolescents with type 1 diabetes.

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来源期刊

Journal of Pediatric Nursing-Nursing Care of Children & Families NURSING-PEDIATRICS

CiteScore

3.70

自引率

8.30%

发文量

291

审稿时长

65 days

期刊介绍： Official Journal of the Society of Pediatric Nurses and the Pediatric Endocrinology Nursing Society (PENS) The Journal of Pediatric Nursing: Nursing Care of Children and Families (JPN) is interested in publishing evidence-based practice, quality improvement, theory, and research papers on a variety of topics from US and international authors. JPN is the official journal of the Society of Pediatric Nurses and the Pediatric Endocrinology Nursing Society. Cecily L. Betz, PhD, RN, FAAN is the Founder and Editor in Chief. Journal content covers the life span from birth to adolescence. Submissions should be pertinent to the nursing care needs of healthy and ill infants, children, and adolescents, addressing their biopsychosocial needs. JPN also features the following regular columns for which authors may submit brief papers: Hot Topics and Technology.