Children's roles in parents' diabetes self-management.
Children's roles in parents' diabetes self-management.
复制标题
孩子在父母糖尿病自我管理中的角色。
DOI：
10.1016/j.amepre.2009.08.003
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发表时间：
2009-12
影响因子：
5.5
通讯作者：
Heisler M
中科院分区：
文献类型：
--
作者：
Laroche HH;Davis MM;Forman J;Palmisano G;Reisinger HS;Tannas C;Spencer M;Heisler M
家庭支持在糖尿病自我管理中很重要。然而，儿童作为支助的提供者很少受到注意。这项研究探讨了儿童在父母糖尿病自我管理、饮食和运动中的作用。这项研究采用了基于社区的参与性研究原则。研究人员对24名患有糖尿病的拉丁美洲和非洲裔美国成年人及其家中的一名儿童（年龄10-17岁）进行了半结构化平行访谈（2004-06）。访谈被转录，编码，并分析的主题（2004-07）。成人和儿童都认为儿童在成人糖尿病自我管理中扮演着许多角色。家长们说，孩子们在监控家长的饮食摄入量，并提醒他们不应该吃什么。一些孩子帮助购物和做饭。家庭描述了孩子提醒父母锻炼，并与父母一起锻炼。孩子们提醒父母服药，并协助检查血糖等任务。父母和孩子都认为，孩子在诱使父母偏离糖尿病饮食方面发挥了作用，因为孩子的饮食包括父母想要但试图避免的食物。儿童和家长认为，儿童在支持和破坏成人的糖尿病自我管理方面发挥着许多作用。还有更多的了解成人和儿童之间的双向关系，在这种情况下，最有益的作用，儿童可以发挥。保健服务提供者应鼓励改变家庭生活方式，加强对家庭的社会支持，引导儿童发挥对父母和儿童都有利的作用，而不是让儿童承担不合理的责任。
Family support is important in diabetes self-management. However, children as providers of support have received little attention. This study examines the role of children in their parents’ diabetes self-management, diet, and exercise. This research used community-based participatory research principles. Researchers conducted semi-structured parallel interviews of 24 Latino and African-American adults with diabetes and with a child (age 10–17 years) in their home (2004–06). Interviews were transcribed, coded, and analyzed for themes (2004–07). Adults and children perceived that children play many roles related to adults’ diabetes self-management. Parents described children as monitoring parents’ dietary intake and reminding them what they should not be eating. Some children helped with shopping and meal preparation. Families described children reminding parents to exercise and exercising with their parent. Children reminded parents about medications and assisted with tasks such as checking blood sugar. Parents and children perceived that children played a role in tempting parents to stray from their diabetes diet, because children's diets included food that parents desired but tried to avoid. Children and parents perceived that children have many roles in both supporting and undermining adults’ diabetes self-management. There is more to learn about the bidirectional relationships between adults and children in this setting and the most beneficial roles children can play. Health-care providers should encourage family lifestyle change, strengthen social support for families and direct children toward roles that are beneficial for both parent and child and do not place an unreasonable level of responsibility on the child.
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影响因子：
4.2
作者：
Coldstream, Frances;le May, Andree
通讯作者：
le May, Andree
影响因子：
2.7
作者：
Pakenham, Kenneth I.;Bursnall, Samantha;Okochi, Miwa
通讯作者：
Okochi, Miwa
影响因子：
3.9
作者：
Carter-Edwards, L;Skelly, AH;Appel, SJ
通讯作者：
Appel, SJ
影响因子：
1.6
作者：
Aldridge, J;Becker, S
通讯作者：
Becker, S
影响因子：
16.2
作者：
Epple, C;Wright, AL;Bauer, M
通讯作者：
Bauer, M