虚拟应对技能训练对青少年1型糖尿病患者自我效能感的影响:一项试点研究

Zeinab Shokouhi, Nafise Hamidi Tabar, F. Naderi, Fatemeh Meri, Fatemeh Saadat, J. Jafari
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摘要

背景:1型糖尿病患者可能难以应对糖尿病相关压力,这可以通过可获得的干预措施得到改善。目的:本研究的目的是确定应对技能训练是否可以在COVID-19大流行封锁期间提高1型糖尿病青少年的自我效能感。材料与方法:本研究采用前测后测设计,并设对照组。研究人群是2021年6月至8月2019冠状病毒病大流行封锁期间在德黑兰糖尿病中心诊断为1型糖尿病的青少年。采用有目的的抽样方法,选取16名青少年1型糖尿病患者。将参与者分为实验组(n=9)和对照组(n=7)。测量工具为一般自我效能量表。实验组共接受了8次应对技能训练;对照组不进行干预。采用多变量协方差分析对数据进行分析。统计分析采用SPSS, Version 23。结果:干预组与对照组在年龄、性别、自我效能感基线得分方面均无显著差异。后测中,干预组自我效能评分(71.52,SD=13.86)显著高于对照组(48.13,SD=12.96) (F=18.97, P<0.001, η2=0.59)。结论:根据这项研究,1型糖尿病青少年在接受应对技能培训后表现出更高的自我效能感。因此,可以得出结论,1型糖尿病青少年需要应对技能培训干预,包括自我管理支持。
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The Effect of Virtual coping skills training on self-efficacy of adolescents with type 1 diabetes during COVID-19 pandemic lockdown: A pilot study
Background: Type 1 diabetes patients may find it difficult to cope with diabetes-related stress, which can be improved by accessible interventions. Objective: The goal of this study was to determine whether coping skill training could increase self-efficacy among adolescents with type 1 diabetes during the COVID-19 pandemic lockdown. Materials and Methods: This study was conducted as a pretest-posttest design with a control group. The study population was adolescents diagnosed with type 1 diabetes at Tehran Diabetes Center during the COVID-19 pandemic lockdown from June to August 2021. Sixteen adolescents with type 1 diabetes were selected using a purposeful sampling method. The participants were divided into experimental (n=9) and control groups (n=7). The measurement tool was the General Self-Efficacy Scale. A total of eight sessions of coping skill training took place for the experimental group; no intervention was performed for the control group. A multivariate analysis of covariance was used to analyze the data. Statistical analysis was performed utilizing SPSS, Version 23. Results: There was no significant difference between the intervention and control groups in terms of age sex, and baseline score of self-efficacy. In the posttest, self-efficacy score significantly improved in the intervention (71.52, SD=13.86) compared to the control group (48.13, SD=12.96) (F=18.97, P<0.001, η2=0.59). Conclusion: According to this study, adolescents with type 1 diabetes who received training in coping skills showed increased self-efficacy. As a result, it can be concluded that adolescents with type 1 diabetes need coping skills training interventions, including self-management support.
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