title: [The effects of management difficulty and family functions on metabolic control of insulin-dependent diabetes mellitus].
abstract: This study was designed as a quantitative study. Subjects ranging from the fourth grade of primary school to the third year of senior high school were drawn from the survey project of Taipei IDDM Registry and from the Kang-Tai IDDM Association. The mothers of these diabetic children were asked to complete questionnaires. The purpose of this paper was to explore the influences of maternal stress, management difficulties and family function on self-management of diabetes and HbA1c. Results indicated that family function was positively and significantly related with self-management. There was a significant correlation between the difficulty of diet control and self-management. The total self-management, blood glucose monitoring and preventive measures for hypoglycemia were negatively correlated with HbA1c. Forty-six point six percent of the variance of self-management could be explained by the family role function, paternal education, patient's school grade, religion and difficulty of diet control. Forty-two point six percent of the variance of HbA1c could be accounted for by total self-management, payment method, difficulty of blood glucose monitoring and frequency of hospitalization due to hypoglycemia.
authors.affiliation: School of Nursing, National Taiwan University, Taipei, Republic of China.
authors.forename: S J
authors.initials: SJ
authors.lastname: Shiau
authors.forename: L S
authors.initials: LS
authors.lastname: Cheng
authors.forename: B S
authors.initials: BS
authors.lastname: Gau
authors.forename: L M
authors.initials: LM
authors.lastname: Tsai
authors.forename: B J
authors.initials: BJ
authors.lastname: Lin
mesh_terms: D000293:Adolescent; D000328:Adult; D002648:Child; D003922:Diabetes Mellitus, Type 1 / Q000523:psychology / Q000628:therapy*; D005190:Family; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009035:Mothers; D012044:Regression Analysis; D013315:Stress, Psychological / Q000209:etiology