Blood Glucose Monitoring and Glycemic Control in Adolescence: Contribution of Diabetes-Specific Responsibility and Family Conflict
Blood Glucose Monitoring and Glycemic Control in Adolescence: Contribution of Diabetes-Specific Responsibility and Family Conflict
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DOI：
10.1016/j.jadohealth.2010.01.012
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发表时间：
2010-08-01
影响因子：
7.6
通讯作者：
Hood, Korey K.
中科院分区：
文献类型：
--
作者：
Ingerski, Lisa M.;Anderson, Barbara J.;Hood, Korey K.
目的：研究糖尿病管理任务和糖尿病特异性家庭冲突责任的年龄和时间趋势及其与血糖监测（BGM）频率和血糖控制（HbA 1c）的关系。147名青少年的样本（平均15.5+/-1.4岁）的1型糖尿病患者及其照顾者在基线和6个月时完成了糖尿病特异性责任和家庭冲突的测量。BGM频率和HbA 1c在门诊appointment.Results：糖尿病管理任务的责任转移到青少年随着年龄的增长，由青少年和照顾者的报告从照顾者。糖尿病特有的冲突稳定。在6个月的随访期间，在责任和冲突方面也观察到类似的趋势。随着青少年年龄的增加，BGM频率降低，HbA 1c升高。多变量分析表明，青少年承担更大的责任，管理任务，并经历了更大的家庭冲突在基线报告较低的BGM在6个月。家庭，人口，心理和疾病特异性变量占26%的青少年和照顾者报告的BGM频率的方差。在基线时报告糖尿病特异性家庭冲突较大的青少年在6个月时的HbA 1c值较高。变量分别占23%和28%的青少年和照顾者report.Conclusions的变异在HbA 1c：糖尿病的具体责任和冲突有重要意义，改善疾病的结果。针对责任和冲突的干预措施（即，减少冲突，同时保持护理人员参与糖尿病管理）可能有助于防止青少年时期常见的BGM和HbA 1c恶化。(C)2010年青少年健康和医学协会。All rights reserved.
Purpose: To examine age and time trends in responsibility for diabetes management tasks and diabetes-specific family conflict and their relationship to blood glucose monitoring (BGM) frequency and blood glucose control (HbA1c).Methods: A sample of 147 adolescents (mean 15.5+/-1.4 years) with type 1 diabetes and their caregivers completed measures of diabetes-specific responsibility and family conflict at baseline and 6 months. BGM frequency and HbA1c were measured during outpatient clinic appointments.Results: Responsibility for diabetes management tasks shifted from caregivers to adolescents with increasing age by adolescent and caregiver report. Diabetes-specific conflict was stable. Similar trends in responsibility and conflict were seen over the 6-month follow-up period. Less frequent BGM and higher HbA1c were also observed with increasing adolescent age. Multivariate analyses demonstrated adolescents taking greater responsibility for management tasks and experiencing greater family conflict at baseline reported lower BGM at 6 months. Family, demographic, psychosocial, and disease-specific variables accounted for 26% of the variance in BGM frequency by both adolescent and caregiver report. Adolescents reporting greater diabetes-specific family conflict at baseline experienced higher HbA1c values at 6 months. Variables accounted for 23% and 28% of the variance in HBA1c by adolescent and caregiver report respectively.Conclusions: Diabetes-specific responsibility and conflict have important implications for improving disease outcomes. Interventions targeting responsibility and conflict (i.e., reducing conflict while keeping caregivers involved in diabetes management) may help prevent the deterioration in BGM and HbA1c frequently seen during adolescence. (C) 2010 Society for Adolescent Health and Medicine. All rights reserved.