The effect of social support and parental monitoring on glycaemic control in adolescents with type 1 diabetes mellitus.

IF 2.1 4区医学 Q3 HEALTH CARE SCIENCES & SERVICES Journal of evaluation in clinical practice Pub Date : 2024-10-23 DOI:10.1111/jep.14190

Ayla İrem Aydın, Gülay Öztaş, Meryem Atak, Nurcan Özyazıcıoğlu, Halil Sağlam

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Abstract

Rationale: Glycaemic control is a crucial aspect of managing type 1 diabetes mellitus (T1DM). Strict glycaemic control has been proven to reduce the long-term complications of the disease.

Aims: The aim of this study was to investigate the effect of parental involvement in diabetes care and social support on glycaemic control in adolescents with T1DM.

Methods: In this cross-sectional study, 94 adolescents and their parents admitted to a university hospital between January and July 2023 were included in the study. The Multidimensional Scale of Perceived Social Support (PMDC-R) and Parental Monitoring Scale (MSPSS) in Diabetes Care of Adolescents with T1DM were used as data collection tools.

Results: Females constituted 63.8% of the adolescents who participated in the study and the glycaemic control of females was significantly lower than males (p < 0.05). The mean HbA1c of the adolescents was 8.65 + 1.57. In the study, PMDC-R and MSPSS scores of adolescents with good and poor glycaemic control were compared. The PMDC-R of the good control group were statistically significantly higher than the poor control group (p < 0.05), but there was no significant difference between the MSPSS scores.

Conclusion: Parental supervision plays a protective role in adolescents, and glycaemic control is better as parental supervision increases. Paediatric nurses should collaborate with parents in diabetes management. This approach may help adolescents to be more successful in diabetes management.

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社会支持和父母监督对 1 型糖尿病青少年血糖控制的影响。

理由血糖控制是管理 1 型糖尿病（T1DM）的一个重要方面。研究目的：本研究旨在探讨父母参与糖尿病护理和社会支持对 T1DM 青少年血糖控制的影响：在这项横断面研究中，纳入了2023年1月至7月期间在一所大学医院住院的94名青少年及其父母。数据收集工具为T1DM青少年糖尿病护理中的感知社会支持多维量表（PMDC-R）和家长监测量表（MSPSS）：参与研究的青少年中女性占 63.8%，女性的血糖控制率明显低于男性（p 结论：父母的监督对 T1DM 青少年具有保护作用：父母的监督对青少年起着保护作用，随着父母监督力度的加大，血糖控制情况会更好。儿科护士应与家长合作进行糖尿病管理。这种方法可帮助青少年更成功地控制糖尿病。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of evaluation in clinical practice 医学-卫生保健

CiteScore

4.80

自引率

4.20%

发文量

143

审稿时长

3-8 weeks

期刊介绍： The Journal of Evaluation in Clinical Practice aims to promote the evaluation and development of clinical practice across medicine, nursing and the allied health professions. All aspects of health services research and public health policy analysis and debate are of interest to the Journal whether studied from a population-based or individual patient-centred perspective. Of particular interest to the Journal are submissions on all aspects of clinical effectiveness and efficiency including evidence-based medicine, clinical practice guidelines, clinical decision making, clinical services organisation, implementation and delivery, health economic evaluation, health process and outcome measurement and new or improved methods (conceptual and statistical) for systematic inquiry into clinical practice. Papers may take a classical quantitative or qualitative approach to investigation (or may utilise both techniques) or may take the form of learned essays, structured/systematic reviews and critiques.