Self-care activities in pediatric patients with type 1 diabetes mellitus.

Autor: Smudja M; Department of Higher Medical School, Academy for Applied Studies Belgrade, Belgrade, Serbia.; Faculty of Medicine, University of Novi Sad, Novi Sad, Serbia., Milenković T; Department of Endocrinology, Mother and Child Health Care Institute of Serbia 'Dr Vukan Čupić', Belgrade, Serbia., Minaković I; Faculty of Medicine, University of Novi Sad, Novi Sad, Serbia.; Health Center Novi Sad, Novi Sad, Serbia., Zdravković V; University Children's Hospital Belgrade, Belgrade, Serbia.; Faculty of Medicine, University of Belgrade, Belgrade, Serbia., Javorac J; Faculty of Medicine, University of Novi Sad, Novi Sad, Serbia.; Institute for Pulmonary Diseases of Vojvodina, Sremska Kamenica, Serbia., Milutinović D; Department of Nursing, Faculty of Medicine, University of Novi Sad, Novi Sad, Serbia.
Jazyk: angličtina
Zdroj: PloS one [PLoS One] 2024 Mar 05; Vol. 19 (3), pp. e0300055. Date of Electronic Publication: 2024 Mar 05 (Print Publication: 2024).
DOI: 10.1371/journal.pone.0300055
Abstrakt: Introduction: Effective diabetes self-management and collaborative responsibility sharing with parents are imperative for pediatric patients with type 1 diabetes mellitus, particularly as they gradually assume more self-care responsibilities. The primary goal of this study was to assess differences in adherence to self-care activities regarding sociodemographics and clinical characteristics in pediatric patients with type 1 diabetes. The secondary goal of this study was to understand the level of parental involvement in diabetes management and to assess the pediatric patients' behaviors (independent or dependent on disease self-management) that relate to sociodemographic and clinical characteristics.
Methods: This was a comparative cross-sectional and correlational study. The study sample included 182 children and adolescents who had been diagnosed with type 1 diabetes at least 3 months prior. Data collection instruments included a sociodemographic and questionnaire about Adherence to self-care activities and parental involvement in diabetes self-management, as well as a documentation sheet for recording clinical data.
Results: A majority of participants (71%) exhibited non-adherence to self-care tasks, despite 78.0% asserting their independence in diabetes self-management. Notably, insufficient parental involvement in administering insulin therapy significantly predicted severe hypoglycemic episodes.
Conclusions: Pediatric patients dealing with type 1 diabetes demonstrate a substantial degree of autonomy in managing their condition, paradoxically coupled with self-reported non-adherence to critical self-care responsibilities. Notably, children (aged 8-12) rely more heavily on parental support, especially concerning insulin therapy administration. The study underscores the crucial role of parental engagement in insulin therapy, as its deficiency significantly predicts the likelihood of severe hypoglycemic episodes.
Competing Interests: The authors have declared that no competing interests exist.
(Copyright: © 2024 Smudja et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.)
Databáze: MEDLINE
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