Effects of Coping Skills Training in School-Age Children With Type 1 Diabetes
Effects of Coping Skills Training in School-Age Children With Type 1 Diabetes
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DOI：
10.1002/nur.20336
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发表时间：
2009-08-01
影响因子：
2
通讯作者：
Dziura, James
中科院分区：
文献类型：
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作者：
Grey, Margaret;Whittemore, Robin;Dziura, James
患有1型糖尿病的儿童有发生不良心理和生理后果的风险，特别是当他们进入青春期时。这项随机试验（n=82）的目的是确定应对技能训练干预（n=53）与一般糖尿病教育（n=29）相比对学龄儿童的影响、中介因素和调节因素。随着时间的推移，两组都有所改善，报告糖尿病的影响较低，更好地应对糖尿病，更好的糖尿病自我效能，更少的抑郁症状和更少的父母控制。治疗方式（泵与注射）调节了选定结局的干预疗效。研究结果表明，基于组的干预措施可能对这个年龄组有益。(C)2009 Wiley Periodicals，Inc. Res Nurs Health 32：405-418，2009
Children with type 1 diabetes are at risk for negative psychosocial and physiological outcomes, Particularly as they enter adolescence. The purpose of this randomized trial (n=82) was to determine the effects, mediators,and moderators of a coping skills training intervention (n=53) for school-aged children compared to general diabetes education (n=29). Both groups improved over time, reporting lower impact of diabetes, better coping with diabetes, better diabetes self-efficacy, fewer depressive symptoms, and less parental control. Treatment modality (pump vs. injections) moderated intervention efficacy on select outcomes. Findings suggest that group-based interventions may be beneficial for this age group. (C) 2009 Wiley Periodicals, Inc. Res Nurs Health 32:405-418, 2009