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Adherence to Diabetic Self-Care Activities in Adolescent and Factors Contributing to Their Management within Sakaka City in Saudi Arabia
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Volume 4, 2017
Issue 4 (July)
Pages: 37-45   |   Vol. 4, No. 4, July 2017   |   Follow on         
Paper in PDF Downloads: 52   Since Jul. 10, 2017 Views: 1441   Since Jul. 10, 2017
Seham Mohammed Elmwafie Hassan, Pediatric Nursing Department, Faculty of Nursing, Beni-Suef University, Beni-Suef City, Egypt; Nursing Department, College of Applied Medical Sciences, AL Jouf University, Saudi Arabia.
Many evidence suggest that adherence to diabetes self-care regimens during adolescence is particularly poor. The Pressures and changes of normal adolescent development can conflict with the self- awareness, restraint and orderliness needed to manage living with a chronic disease. The aim of the study was to identify the level of the adherence to diabetic self-care activities in adolescent and factors contributing to their management within Sakaka City in Saudi Arabia. Descriptive cross sectional research design used in this study. The participants selected using purposeful convenient sampling from the outpatients at two regional hospitals at Sakaka City. The data collected using two questionnaires (1) a researcher-made questionnaire designed to collect participants' demographic data, clinical data and their level of knowledge. (2) Diabetes Self-Management Questionnaire used to evaluate the adherence of diabetic adolescent to the prescribed management regimen. Results of this study showed that 63.3% of participants were female with mean age 12.6 ± 4.86 years and most of them (94.4%) had previous diabetic family history. Also, the results showed that, participants' scored suboptimal mean in all domains regarding diabetic self-care control especially diet control and physical activity (6.5±1.1, 6.1±.74) respectively. In addition the findings illustrated that the most contributing factors which were significantly correlated with diabetes self-management scores were gender, duration of illness, mothers' level of knowledge, peers' support where p <0.05. Also, the frequency of hypo/ hyperglycemic has highly significant correlations with diabetes self-management mean scores where p < 0.01. This study concluded that the diabetes self-care management among studied adolescents were suboptimal level as reported by the participants and according to the scoring style of Diabetes Self-Management Questionnaire. as well as, this study suggested that educational it is necessary to provide diabetic adolescents with knowledge and information in all aspects of diabetes control especially dietary and physical activity control. Continuous evaluation of self-care management activities among adolescents using valid measures recommended.
Adherence, Adolescent, Type 1 Diabetes, Self-care, Management
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