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The Self-Management Experiences of Adolescents with Type 1 Diabetes: A Descriptive Phenomenology Study

Many adolescents with type 1 diabetes experience challenges in achieving good glycemic control and have insufficient understanding in executing interventions for glycemic control. This study aimed to understand self-management experiences of adolescents with type 1 diabetes in Taiwan. In this descri...

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Detalles Bibliográficos
Autores principales: Hung, Li-Chen, Huang, Chu-Yu, Lo, Fu-Sung, Cheng, Su-Fen
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7400392/
https://www.ncbi.nlm.nih.gov/pubmed/32708617
http://dx.doi.org/10.3390/ijerph17145132
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author Hung, Li-Chen
Huang, Chu-Yu
Lo, Fu-Sung
Cheng, Su-Fen
author_facet Hung, Li-Chen
Huang, Chu-Yu
Lo, Fu-Sung
Cheng, Su-Fen
author_sort Hung, Li-Chen
collection PubMed
description Many adolescents with type 1 diabetes experience challenges in achieving good glycemic control and have insufficient understanding in executing interventions for glycemic control. This study aimed to understand self-management experiences of adolescents with type 1 diabetes in Taiwan. In this descriptive phenomenological study, we conducted in-depth interviews with 18 adolescents with type 1 diabetes from the pediatric outpatient clinic of a medical center. Data were analyzed using the Colaizzi’s method. Four themes were identified: (1) misconception regarding self-management of blood glucose; (2) conflict between depending on and breaking away from parental assistance for glycemic control; (3) encounter with disruptions in glycemic control regimen due to the presence of schedule changes; and (4) lack of motivation to achieve good glycemic control. The findings indicated that the misconceptions of adolescents with type 1 diabetes about managing glycemic levels resulted from an insufficient understanding of self-management of diabetes. In Taiwan, the heavy emphasis of academic achievement and changes of schedules during breaks tended to disrupt the regimen for glycemic control. Healthcare professionals are encouraged to provide individualized education focusing on the adolescents’ misconceptions regarding self-management of diabetes.
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spelling pubmed-74003922020-08-23 The Self-Management Experiences of Adolescents with Type 1 Diabetes: A Descriptive Phenomenology Study Hung, Li-Chen Huang, Chu-Yu Lo, Fu-Sung Cheng, Su-Fen Int J Environ Res Public Health Article Many adolescents with type 1 diabetes experience challenges in achieving good glycemic control and have insufficient understanding in executing interventions for glycemic control. This study aimed to understand self-management experiences of adolescents with type 1 diabetes in Taiwan. In this descriptive phenomenological study, we conducted in-depth interviews with 18 adolescents with type 1 diabetes from the pediatric outpatient clinic of a medical center. Data were analyzed using the Colaizzi’s method. Four themes were identified: (1) misconception regarding self-management of blood glucose; (2) conflict between depending on and breaking away from parental assistance for glycemic control; (3) encounter with disruptions in glycemic control regimen due to the presence of schedule changes; and (4) lack of motivation to achieve good glycemic control. The findings indicated that the misconceptions of adolescents with type 1 diabetes about managing glycemic levels resulted from an insufficient understanding of self-management of diabetes. In Taiwan, the heavy emphasis of academic achievement and changes of schedules during breaks tended to disrupt the regimen for glycemic control. Healthcare professionals are encouraged to provide individualized education focusing on the adolescents’ misconceptions regarding self-management of diabetes. MDPI 2020-07-16 2020-07 /pmc/articles/PMC7400392/ /pubmed/32708617 http://dx.doi.org/10.3390/ijerph17145132 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Hung, Li-Chen
Huang, Chu-Yu
Lo, Fu-Sung
Cheng, Su-Fen
The Self-Management Experiences of Adolescents with Type 1 Diabetes: A Descriptive Phenomenology Study
title The Self-Management Experiences of Adolescents with Type 1 Diabetes: A Descriptive Phenomenology Study
title_full The Self-Management Experiences of Adolescents with Type 1 Diabetes: A Descriptive Phenomenology Study
title_fullStr The Self-Management Experiences of Adolescents with Type 1 Diabetes: A Descriptive Phenomenology Study
title_full_unstemmed The Self-Management Experiences of Adolescents with Type 1 Diabetes: A Descriptive Phenomenology Study
title_short The Self-Management Experiences of Adolescents with Type 1 Diabetes: A Descriptive Phenomenology Study
title_sort self-management experiences of adolescents with type 1 diabetes: a descriptive phenomenology study
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7400392/
https://www.ncbi.nlm.nih.gov/pubmed/32708617
http://dx.doi.org/10.3390/ijerph17145132
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