Coping skills training for youths with diabetes on intensive therapy
Coping skills training for youths with diabetes on intensive therapy
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DOI：
10.1016/s0897-1897(99)80123-2
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发表时间：
1999-02-01
影响因子：
2.2
通讯作者：
Tamborlane, WV
中科院分区：
文献类型：
--
作者：
Grey, M;Boland, EA;Tamborlane, WV
本研究的目的是确定行为干预（应对技能训练[CST]）结合强化糖尿病管理是否可以改善正在实施强化治疗的青少年的代谢控制和生活质量。共有77名开始强化胰岛素治疗的年轻人（年龄范围，12.5-20岁）被随机分配到两组之一：强化管理与CST或没有CST。CST由一系列小组活动组成，旨在教授解决问题的技能和沟通。数据收集干预前和干预后3个月和6个月使用既定的临床和心理社会指标。随机化产生等同的组。6个月后，接受CST的受试者有更好的代谢控制（F = 3.89，p = 0.02）和更好的一般自我效能（F = 4.54，p = 0.01）。他们报告糖尿病对他们生活质量的负面影响较小（F = 4.55，p = .01），对糖尿病的担忧较少（F = 3.82，p = .02）。因此，护士可能会发现CST有助于帮助糖尿病青少年实现代谢和生活质量的目标。版权所有（C）1999 WB。桑德斯公司
The purpose of this study was to determine if a behavioral intervention (coping skills training [CST]) combined with intensive diabetes management can improve the metabolic control and quality of life in adolescents who are implementing intensive therapy. A total of 77 youths (age range, 12.5-20 years) who were beginning intensive insulin therapy were randomly assigned to one of two groups: intensive management with CST or without CST. CST consists of a series of small group efforts designed to teach problem solving skills and communication. Data were collected preintervention and at 3 and 6 months post-intervention by using established clinical and psychosocial indicators. Randomization produced equivalent groups. After 6 months, subjects who received CST had better metabolic control (F = 3.89, p = .02) and better general self-efficacy (F = 4.54, p = 0.01). They reported less negative impact of diabetes on their quality of life (F = 4.55, p = .01) and had fewer worries about diabetes (F = 3.82, p = .02). Thus, nurses may find CST useful in assisting youths with diabetes to achieve metabolic and quality of life goals. Copyright (C) 1999 by WB. Saunders Company.