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題名：Establishing a Model to Assess the Effects of School Support and Self-Care Behaviors on Life Satisfaction in Adolescents with Type 1 Diabetes in Taiwan
書刊名：The Journal of Nursing Research
作者：唐善美／陳淑雯 引用關係／王瑞霞 引用關係
作者(外文)：Tang, Shan-mei／Chen, Shu-wen／Wang, Ruey-hsia
出版日期：2013
卷期：21:4
頁次：頁244-251
主題關鍵詞：第一型糖尿病；自我照顧；學校支持；生活滿意度；Type 1 diabetes；Self-management behaviors；School support；Life satisfaction
原始連結：連回原系統網址new window
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  • 被引用次數被引用次數:期刊(1) 博士論文(0) 專書(0) 專書論文(0)
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  • 共同引用共同引用:1
  • 點閱點閱:22
背景:生活滿意度與青少年的正向發展相關，了解影響第一型糖尿病青少年生活滿意度的徑路模式，有助於專業人員設計策略提高其正向發展。目的:本研究是建構學校支持及自我照顧對台灣第一型糖尿病青少年生活滿意度影響之模式。方法:本研究設計為橫斷面設計，共收案139位10-18歲被診斷為第一型糖尿病個案，個案完成包含個人屬性資料、學校支持、自我照顧行為及生活滿意度之問卷，以結構方程模式驗證假設之模式。結果:學校支持分別對自我照顧行為（β = .46, p = .022）及生活滿意度（β = .39, p = .034）具顯著直接影響，且自我照顧行為對生活滿意度（β = .56, p = .048）亦具顯著直接影響作用，而學校支持亦透過自我照顧行為顯著間接影響生活滿意度（β = .26, p = .015）。模式的適配度指標分別為x^2 = 8.141，df = 11；p = .701；goodness of fit index = .984；normed fit index = .949；root mean square error of approximation = .001，整體模式對生活滿意度的總解釋變異為66.1%。結論:糖尿病自我照顧行為及學校支持影響第一型糖尿病青少年之生活滿意度，健康專業人員可運用策略，提升第一型糖尿病青少年的自我照顧行為及學校支持，以提升其生活滿意度。
Background: Life satisfaction is associated with positive development in adolescents. Understanding a path model of life satisfaction can help healthcare providers design interventions to improve positive development in adolescents with type 1 diabetes.Purpose: The aim of this study was to construct a model that assesses the effects of school support and self-care behaviors on life satisfaction in adolescents with type 1 diabetes in Taiwan.Methods: This study used a cross-sectional design. One hundred and thirty-nine adolescents aged 10-18 years and diagnosed with type 1 diabetes were recruited. Participants completed questionnaires that assessed perceived school support, self-care behaviors, and life satisfaction. The hypothesized model was tested using structural equation modeling.Results: School support significantly and directly affected self-care behaviors (β= .46, p = .022) and life satisfaction (β= .39, p = .034), self-care behaviors directly affected life satisfaction (β= .56, p = .048), and school support indirectly affected life satisfaction (β= .26, p = .015) through the mediation of self-care behaviors. The fix indices were as follows: x^2 = 8.141, df = 11, p = .701, goodness of fit index = .984, normed fit index = .949, and root mean square residual = .001. The model explained 66.1% of total life satisfaction variance.Conclusions: School support and self-care behaviors positively influence the life satisfaction of adolescents with type 1 diabetes. Improvements in school support and self-care behaviors are necessary to improve life satisfaction in this vulnerable group.
期刊論文
1.American Diabetes Association.(2013)。Diabetes care in the school and day care setting。Diabetes Care，36(1)，75-79。  new window
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3.Court, J. M.,、Cameron, F. J.,、Berg-Kelly K.,、Swift, P. G. F.(2008)。Diabetes in adolescence。Pediatric Diabetes，9(3)，255-262。  new window
4.Delamater, A. M.(2006)。Improving patient adherence。Clinical Diabetes，24(2)，71-77。  new window
5.Funnell, M. M.,、Brown, T. L.,、Childs, B. P.,、Haas, L. B.,、Hosey, G. M.,、Jensen, B.,、I Weiss, M. A.(2012)。National standards for diabetes self-management education。Diabetes Care，35(1)，101-108。  new window
6.Greening, L.,、Stoppelbein, L.,、Konishi, C.,、Jordan, S. S.,、Moll, G.(2007)。Child routines and youths’ adherence to treatment for type 1 diabetes。Journal of Pediatric Psychology，32(4)，437-447。  new window
7.Hayes-Bohn, R.,、Neumark-Sztainer, D.,、Mellin, A.,、Patterson, J(2004)。Adolescent and parent assessments of diabetes mellitus management at school。Journal of School Health，74(5)，166-169。  new window
8.Hellems, M. A.,、Clarke, W. L.(2007)。Safe at school: A Virginia experience。Diabetes Care，30(6)，1396-1398。  new window
9.Jaser, S. S.,、Faulkner, M. S.,、Whittemore, R.,、Jeon, S.,、Murphy, K.,、Delamater, A.,、Grey, M.(2012)。Coping, self-management, and adaptation in adolescents with type 1 diabetes。Annals of Behavioral Medicine，43(3)，311-319。  new window
10.Luyckx, K.(2012)。Invited commentary on Jaser et al.: Coping, self-management, and adaptation in adolescents with type 1 diabetes。Annals of Behavioral Medicine，43(3)，282-283。  new window
11.Maahs, D. M.、West, N. A.、Lawrence, J. M.、Mayer-Davis, E. J.(2010)。Epidemiology of type 1 diabetes。Endocrinology Metabolism Clinics of North America，39(3)，481-497。  new window
12.Mandali, S. L.,、Gordon, T. A.(2009)。Management of type 1 diabetes in schools: Whose responsibility。The Journal of School Health，79(12)，599-601。  new window
13.Murphy, H. R.,、Wadham, C.,、Rayman, G.,、Skinner, T. C.(2007)。Approaches to integrating paediatric diabetes care and structured education: Experiences from the Families。Adolescents, and Children’s Teamwork Study (FACTS). Diabetic Medicine，24(11)，1261-1268。  new window
14.Palladino, D. K.,、Helgeson, V. S.,、Reynolds, K. A.,、Becker, D. J.,、Siminerio, L. M.,、Escobar, O.(2013)。Emerging adults with type 1 diabetes: A comparsion to peers without diabetes。Journal of Pediatric Psychology，38(5)，506-517。  new window
15.Proctor, C. L.、Linley, P. A.、Maltby, J.(2009)。Youth life satisfaction: A review of the literature。Journal of Happiness Studies，10(5)，583-630。  new window
16.Schneider, S.,、Iannotti, R. J.,、Nansel, T. R.,、Haynie, D. L.,、Simons Morton, B.,、Sobel, D. O.,、I Plotnick, L. P.(2007)。Identification of distinct self-management styles of adolescents with type 1 diabetes。Diabetes Care，30(5)，1107-1112。  new window
17.Schober, E.,、Waldhoer, T.,、Rami, B.,、Hofer, S.(2009)。Incidence and time trend of type 1 and type 2 diabetes in Austrian children 1999-2007。The Journal of Pediatrics，155(2)，190-193。  new window
18.Siddall, J.,、Huebner, E. S.,、Jiang, X.(2013)。A prospective study of differential sources of school-related social support and adolescent global life satisfaction。American Journal of Orthopsychiatry，83(1)，107-114。  new window
19.Sun, R. C. F.,、Shek, D. T. L.(2012)。Positive youth development, life satisfaction and problem behaviour among Chinese adolescents in Hong Kong: A replication。Social Indicators Research，105(3)，541-559。  new window
20.Vander Wal, J. S.(2012)。Unhealthy weight control behaviors among adolescents。Journal of Health Psychology，17(1)，110-120。  new window
21.van Leeuwen, C.M.,、Post, M. W.,、Westers, P.,、van der Woude, L. H.,、de Groot, S.,、Sluis, T.,、I Lindeman, E.(2012)。Relationships between activities, participation, personal factors,mental health, and life satisfaction in persons with spinal cord injury。Archives of Physical Medicine and Rehabilitation，93(1)，82-89。  new window
22.Wang, R. H.、Lo, F. S.、Chen, B. H.、Hsu, H. Y.、Lee, Y. J.(2011)。Short Form of the Chinese version Diabetes Quality of Life for Youth Scale: A psychometric testing in Taiwanese adolescents with type 1 diabetes。Diabetes Care，34(9)，1943-1945。  new window
23.王月伶、Brown, Sharon A.、Horner, Sharon D.(20101200)。School-Based Lived Experiences of Adolescents with Type 1 Diabetes: A Preliminary Study。The Journal of Nursing Research，18(4)，258-265。new window  new window
24.Wei, J. N.,、Chuang, L. M.,、Lin, C. C.,、Chiang, C. C.,、Lin, R. S.,、Sung, F. C.(2003)。Childhood diabetes identified in mass urine screening program in Taiwan, 1993-1999。Diabetes Research and Clinical Practice，59(3)，201-206。  new window
25.Wysocki, T.,、Buckloh, L. M.,、Antal, H.,、Lochrie, A.,、Taylor, A(2012)。Validation of a self-report version of the diabetes selfmanagement profile。Pediatric Diabetes，13(5)，438-443。  new window
26.Zullig, K. J.,、Valois, R. F.,、Huebner, E. S.,、Drane, J. W.(2005)。Adolescent health-related quality of life and perceived satisfaction with life。Quality of Life Research，14(6)，1573-1584。  new window
27.Chang, C. W.,、Yeh, C. H.,、Lo, F. S.、Shih, Y. L.(2007)。Adherence behaviours in Taiwanese children and adolescents with type 1 diabetes mellitus。Journal of Clinical Nursing，16(7b)，207-214。  new window
28.Wagner, J.,、Heapy, A.,、James, A.,、Abbott, G.(2006)。Brief report: Glycemic control, quality of life, and school experiences among students with diabetes。Journal of Pediatric Psychology，31(8)，764-769。  new window
會議論文
1.Currie, C.、Zanotti, C.、Morgan, A.、Currie, D.、de Looze, M.、Roberts, C.、Barnekow, V.(2012)。Social determinants of health and well-being among young people。Health behavior in school-aged children (HBSC) study: International report from the 2009/2010 survey。Copenhagen, Denmark：World Health Organization Regional Office for Europe.。  new window
2.Huebner, E. S.,、Suldo, S. M.,、Valois, R. F.(2003)。Psychometric properties of two brief measures of children’s life satisfaction: The Students’ Life Satisfaction Scale and the Brief Multidimensional Students’ Life Satisfaction Scale。The Child Trend, Indicators of Positive Development Conference。Washington, DC。  new window
其他
1.American Association of Diabetes Educators.(2011)。AADE 7 selfcare behaviors: American Association of Diabetes Educators (AADE) position statement.，http://google.diabetes.org/search?site=Diabetes&client=default_frontend&sort=date%3AD%3AL%3Ad1&entqr=0&oe=UTF-8&ie=UTF-8&ud=1&proxystylesheet=default_frontend&output=xml_no_dtd&q=AADE7。  new window
2.Centers for Disease Control and Prevention.(2012)。Children and diabetesVMore information，http://www.cdc.gov/diabetes/projects/cda2.htm。  new window
3.World Health Organization.(2013)。What is WHO’s definition of health?，http://www.who.int/kobe_centre/about/faq/en/index.html。  new window
圖書論文
1.Lin, S. C.(2005)。Social stratification and education。Educational sociology。Taipei, Taiwan, ROC：Chuliu。  new window
 
 
 
 
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