Child Health Nursing Research

Korean Academy of Child Health Nursing (한국아동간호학회)
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Factors Affecting the Self-Management of Adolescents with Type 1 Diabetes Mellitus based on the Information-Motivation-Behavioral Skills Model

제1형 당뇨병 청소년의 자기관리 영향요인: 정보-동기-행동기술 모델을 기반으로

  • Lee, Hooyun (Severance Children's Hospital, Yonsei University Health System) ;
  • Choi, Eun Kyoung (College of Nursing, Mo-Im Kim Nursing Research Institute, Yonsei University) ;
  • Kim, Heejung (College of Nursing, Mo-Im Kim Nursing Research Institute, Yonsei University) ;
  • Kim, Ho-Seong (Department of Pediatrics, Severance Children's Hospital, Endocrine Research Institute, College of Medicine, Yonsei University) ;
  • Kim, Hee-Soon (College of Nursing, Mo-Im Kim Nursing Research Institute, Yonsei University)
  • 이후연 (세브란스 어린이병원) ;
  • 최은경 (연세대학교 간호대학.김모임간호학연구소) ;
  • 김희정 (연세대학교 간호대학.김모임간호학연구소) ;
  • 김호성 (세브란스 어린이병원 소아내분비과.연세대학교 의과대학) ;
  • 김희순 (연세대학교 간호대학.김모임간호학연구소)
  • Received : 2019.02.08
  • Accepted : 2019.03.23
  • Published : 2019.04.30
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Abstract

Purpose: The purpose of this study was to investigate associations between self-management and diabetes knowledge, diabetes-related attitudes, family support, and self-efficacy in adolescents with type 1 diabetes mellitus based on the information-motivation-behavior skills model. Methods: Data collection was conducted between March 18 and September 30, 2018. Patients (N=87) aged 12 to 19 years were recruited from the outpatient clinic of S children's hospital and an online community for patient with type 1 diabetes mellitus. Data were analyzed using descriptive statistics, the independent t-test, one-way ANOVA, Pearsons correlation, and hierarchical multiple linear regression with SPSS IBM 23.0, with the two-tailed level of significance set at 0.05. Results: The mean score of self-management in adolescents with type 1 diabetes mellitus was $61.23{\pm}10.00$ out of 80. The regression analysis showed that self-efficacy and family support significantly explained 56.9% of the variance in self-management (F=21.38, p<.001). Self-efficacy (${\beta}=.504$, p<.001) and family support (${\beta}=.188$, p<.001) were significant predictors of self-management. Conclusion: It is necessary to develop individual interventions to improve self-efficacy and family support for adolescents with type 1 diabetes mellitus to help them enhance their self-management.

Keywords

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