Family Centered Nursing Education in Pediatric Type ۱ Diabetes: A Narrative Review

Introduction: Type ۱ diabetes mellitus (T۱DM) in children is a chronic condition requiring complex daily self-management, which often depends on family support. Evidence suggests family-centered education improves not only glycemic control but also psychological well-being and quality of life for both children and their parents. Family involvement helps enhance diabetes knowledge, reduce conflict, and foster more effective self-care behaviors. Understanding the impact of family-centered nursing education is crucial for designing interventions that empower families and improve outcomes in pediatric T۱DM. This narrative review synthesizes recent evidence on the role of family-centered nursing education in managing type ۱ diabetes in children. Method: We searched PubMed and Google Scholar for English-language studies published between ۲۰۲۰ and ۲۰۲۵ using the keywords: ("Type ۱ Diabetes" OR "TIDM") AND ("family-centered care" OR "parent education" OR "nursing education") AND ("children" OR "pediatric"). Inclusion criteria comprised English-language, full-text articles evaluating role of family-centered nursing education in managing type ۱ diabetes in children. Exclusion criteria removed non-English studies, inaccessible texts, and those focused exclusively on adults or mixed samples without pediatric subgroup data. Screening proceeded in two phases (title/abstract, full-text), and reference lists were hand searched for additional sources. Extracted data captured study design, intervention modality, and reported outcomes. Results: Family-centered nursing education was consistently associated with improved clinical and psychosocial outcomes in children with T۱DM and their parents. Studies reported significant improvements in glycemic control, self-efficacy, and quality of life following structured family empowerment programs. Parents' diabetes knowledge and confidence in managing their child's care increased, while parent-child conflict over diabetes tasks decreased. Culturally tailored educational interventions were highlighted as essential for addressing specific family needs and improving engagement. Programs emphasizing shared goal setting, communication skills, and emotional support further enhanced family satisfaction and reduced stress. Overall, family-centered education emerged as a critical strategy to promote collaborative care and better disease management. Conclusion: Family-centered nursing education enhances pediatric T۱DM management by empowering families, improving self-care skills, reducing family conflict, and addressing psychosocial needs. Integrating structured, culturally sensitive family education into routine nursing care can improve both clinical and quality-of-life outcomes for children and their families.

کلیدواژه ها:

Type ۱ Diabetes ، Family-Centered Care ، Nursing Education ، Self-Management ، Pediatric