Date of Award

1998

Degree Type

Thesis

Degree Name

M.Sc.

Department

Nursing

First Advisor

Cameron, S.

Keywords

Health Sciences, Nursing.

Rights

CC BY-NC-ND 4.0

Abstract

This study investigated family demands, resources, and adaptation in families of children with Type 1 diabetes The Resiliency Model of Family Stress, and Adaptation (McCubbin & McCubbin, 1993) provided the conceptual framework. A convenience sample included 75 families from a local pediatric clinic (56.9% response rate) who responded to a mailed questionnaire. Instruments included measures of caregiving demands, family resources, family functioning and the child's most recent glycosylated hemoglobin value. There were significant differences in caregiving demands between mothers of younger children (13 and below) and mothers of older children (14 and above). Mothers of younger children reported more caregiving demands. Correlational analysis identified significant relationships between the Feetham Family Functioning score (FFFS) and Caregiving Demands. Significant correlations were also found between the Family Apgar score and the FFFS and the family resources of Family Hardiness, Mastery & Health, Esteem and Communication, and Coping. Family support was not significantly correlated with the Family Apgar score or the FFFS discrepancy score. The child's metabolic control was significantly correlated with coping but not significantly related to Caregiving Demands or the other family resources. Hierarchical regression analyses indicated (a) child age, duration of diabetes, and Coping were significant predictors of the Family Apgar score, (b) Caregiving Demands was a significant predictor of the Feetham Family Functioning discrepancy score, and (c) Coping and Family Support predicted the child's metabolic control. Recommendations for future research and for nursing practice are included. Paper copy at Leddy Library: Theses & Major Papers - Basement, West Bldg. / Call Number: Thesis1998 .C44. Source: Masters Abstracts International, Volume: 39-02, page: 0482. Adviser: Sheila Cameron. Thesis (M.Sc.)--University of Windsor (Canada), 1998.

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