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

台灣第一型糖尿病青少年學校支持及自我照顧對生活滿意度影響之模式建構

10.1097/JNR.0000000000000008

唐善美(Shan-Mei Tang)；陳淑雯(Shu-Wen Chen)；王瑞霞(Ruey-Hsia Wang)

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

The Journal of Nursing Research

21卷4期（2013 / 12 / 01）

244 - 251

英文

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.

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