The effects of resilience intervention on self-care behaviors and health adaptation in adolescents with type 1 diabetes

• Main Authors: Shan-Mei Tang, 唐善美
• Other Authors: Ruey-Hsia Wang
• Format: Others
• Language: zh-TW
• Published: 2015
• Online Access: http://ndltd.ncl.edu.tw/handle/9bg6q8

博士 === 高雄醫學大學 === 護理學系碩士班 === 103 === The purpose of this study was to examine the effects of the resilience strategy on self-care behavior, quality of life, and glycolated hemoglobin (HbA1c) of adolescents with type 1 diabetes. An experimental study design was applied. One hundred and twenty-five adolescents with type 1 diabetes aged 10-18 years were selected according to a cluster sampling and randomly assigned to the intervention group (n = 45) and the control group (n = 80) from three medical centers in southern Taiwan. Subjects in the control group received routine clinical care. Subjects in the intervention group received a resilience strategy. The strategy was held twice as face-to-face interviews and three times as telephone interviews over three months. Self-care behavior and quality of life were measured at pre-intervention. The HbA1c levels were measured on pre-intervention (T0), 3 months (T1) and 6 months (T2) after intervention. Data were analyzed using frequency, percentage, mean, standard deviation, independent samples t-test, paired samples t-test, chi-square test and generalized estimating equation (GEE). The results of this study indicated that (1) subjects of the intervention group significantly improved their levels of self-care behaviors at T1. The improvement of self-behaviors at T1 in the intervention group were significantly higher than those of the control group; (2) The improvement of quality of life at T1in the intervention group did not significantly differ with that of the control group; and (3) The HbA1c levels of the intervention group significantly decreased at T1and T2. Nevertheless, the HbA1c levels of the control group significantly increased at T1 and T2. The decrease of HbA1c levels in the intervention group at T1 and T2 were significantly higher than those of the control group. Healthcare providers can provide resilience interventions to improve self-care behavior and glycemic control of adolescents with T1DM.