The Effect of the Family-Centered Empowerment Model on Family Functioning in Type 1 Diabetic Children: A Quasi-Experimental Study

F. Ghaljaei, Moeinoddin Motamedi, Najmeh Saberi, A. Arbabisarjou
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Abstract

Background: The family-centered empowerment model seems to be effective in empowering the patient and engaging family members in identifying the patient’s care needs and cooperating with the patient to control diabetes and its complications. Objectives: The present study aimed to evaluate the effect of the family-centered empowerment model on family functioning in children with type 1 diabetes. Methods: This quasi-experimental study was conducted on 80 primary caregivers of children with type 1 diabetes admitted to the diabetes clinic of Hazrat Ali Asghar (AS) Hospital in Zahedan, southeast Iran, in 2021. The diabetic children were selected using convenience sampling, and then the participants were equally classified by the random block method and were assigned to 2 groups (intervention and control groups). The data were collected using the family assessment device (FAD) and a demographic information form. Repeated measures analysis of variance (ANOVA) was used to assess the effectiveness of the training intervention by modifying the effect of some quantitative variables. The significance level in this study was set at 0.05 (P = 0.05) using SPSS version 26. Results: The mean age of the children was 8.95 ± 2.18 years in the intervention group and 9.10 ± 1.97 years in the control group (P = 0.75). The mean family functioning scores were not significantly different between the intervention and control groups before the intervention. However, the 2 groups showed a significant difference in terms of family functioning scores one and a half and 3 months after the intervention (P < 0.001). Conclusions: Teaching family members about disease control can be very useful because there is a strong connection between the family and the health status of its members. People, especially those with chronic diseases, are dependent on their family members, and even their attitudes are affected by the family.
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以家庭为中心的授权模式对1型糖尿病儿童家庭功能的影响:一项准实验研究
背景:以家庭为中心的授权模式似乎可以有效地授权患者,并使家庭成员参与识别患者的护理需求,并与患者合作控制糖尿病及其并发症。目的:本研究旨在评估以家庭为中心的授权模式对1型糖尿病儿童家庭功能的影响。方法:对2021年在伊朗东南部扎黑丹Hazrat Ali Asghar (AS)医院糖尿病门诊就诊的80名1型糖尿病儿童的主要护理人员进行准实验研究。采用方便抽样法选取糖尿病患儿,然后采用随机分组法等分,分为干预组和对照组2组。采用家庭评估仪(FAD)和人口统计信息表收集数据。采用重复测量方差分析(ANOVA),通过修正一些定量变量的影响来评估训练干预的有效性。本研究采用SPSS version 26统计学分析,显著性水平为0.05 (P = 0.05)。结果:干预组患儿平均年龄为8.95±2.18岁,对照组患儿平均年龄为9.10±1.97岁(P = 0.75)。干预前,干预组与对照组的平均家庭功能评分差异无统计学意义。干预后1个半月和3个月,两组家庭功能评分差异有统计学意义(P < 0.001)。结论:对家庭成员进行疾病控制教育是非常有用的,因为家庭与其成员的健康状况之间存在着很强的联系。人们,特别是那些患有慢性病的人,依赖于他们的家庭成员,甚至他们的态度也受到家庭的影响。
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