影响1型糖尿病儿童父母共同决策感知的因素：渥太华决策支持框架指导下的横断面研究

IF 2.3 4区医学 Q2 NURSING

Journal of Pediatric Nursing-Nursing Care of Children & Families Pub Date : 2025-08-28 DOI:10.1016/j.pedn.2025.08.012

In Hyeong Choi , In Young Cho

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引用次数: 0

摘要

本研究采用渥太华决策支持框架（ODSF），考察了治疗相关决策冲突、父母自我效能感和护理支持对1型糖尿病儿童父母共同决策感知的影响。方法采用结构化问卷收集数据，测量决策冲突、父母自我效能感、护士-父母支持和共同决策。参与者是137名接受门诊或住院治疗的诊断为1型糖尿病儿童的主要照顾者。参与者从光州全南国立大学医院和韩国糖尿病在线社区招募。结果大学本科及以上学历（β = 0.23, p = 0.012）、独生子女（β = - 0.21, p = 0.026）和经历过决策冲突（β = - 0.17, p = 0.036）是影响共同决策感知的显著因素。该模型解释了共同决策感知20.5%的方差（调整后R2 = 0.205, F = 5.39, p < 0.001）。结论教育水平、子女数量和决策冲突影响家长对1型糖尿病管理共同决策的感知。通过考虑父母的人口统计数据和实施减少决策冲突的策略，这些观念可能会得到加强

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Factors influencing the perception of shared decision-making among parents of children with type 1 diabetes mellitus: A cross-sectional study guided by the Ottawa Decision Support Framework

Background

This study examined the effects of treatment-related decisional conflict, parental self-efficacy, and nursing support on parents' perceptions of shared decision-making for children with type 1 diabetes, using the ODSF (Ottawa Decision Support Framework). It also sought to provide foundational data for developing nursing interventions that enhance these perceptions

Methods

Data were collected with a structured questionnaire measuring decisional conflict, parental self-efficacy, nurse–parent support, and shared decision-making. Participants were 137 primary caregivers of children diagnosed with type 1 diabetes mellitus who were receiving outpatient or inpatient care. Participants were recruited from Chonnam National University Hospital in Gwangju Metropolitan City and from diabetes mellitus online community in South Korea. Data collection was conducted via online questionnaires from June through august 2024

Results

Factors that significantly affected perceptions of shared decision-making were having a college degree or higher (β = 0.23, p = 0.012), having only one child (β = −0.21, p = 0.026), and experiencing decisional conflict (β = −0.17, p = 0.036). The model explained 20.5 % of the variance in shared decision-making perceptions (adjusted R² = 0.205, F = 5.39, p < 0.001)

Conclusion

Educational level, number of children, and decisional conflict influence how parents perceive shared decision-making in the management of type 1 diabetes mellitus. These perceptions may be enhanced by considering parental demographics and by implementing strategies that reduce decisional conflict

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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.