Effects of Coping Skills Training in School-Age Children With Type 1 Diabetes

被引:81
作者
Grey, Margaret [1 ]
Whittemore, Robin [1 ]
Jaser, Sarah [1 ]
Ambrosino, Jodie [2 ]
Lindemann, Evie [3 ]
Liberti, Lauren [1 ]
Northrup, Veronika [4 ]
Dziura, James [4 ]
机构
[1] Yale Sch Nursing, New Haven, CT 06536 USA
[2] Yale Sch Med, Dept Pediat, New Haven, CT USA
[3] Albertus Magnus Coll, New Haven, CT USA
[4] Yale Ctr Clin Invest, New Haven, CT USA
关键词
coping skills training; child; type; 1; diabetes; INSULIN PUMP THERAPY; QUALITY-OF-LIFE; METABOLIC-CONTROL; GLYCEMIC CONTROL; FAMILY CONFLICT; SELF-EFFICACY; ADOLESCENTS; YOUTH; MANAGEMENT; ADHERENCE;
D O I
10.1002/nur.20336
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
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
引用
收藏
页码:405 / 418
页数:14
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