Self-care agency and quality of life among Iranian adolescents with diabetes mellitus type 1
AbstractBackground & Aim: Juvenile or type 1 diabetes mellitus is the most common metabolic and endocrine disorder in childhood and adolescence that affects quality of life. On the other hand, self-care agency could be considered as a significant factor in improving the quality of life. This study aimed to investigate the self-care agency and quality of life among Iranian adolescents with diabetes mellitus type 1 referring to the Diabetes Center at Sina Hospital in Tabriz, Iran.Materials and Methods: In a descriptive correlation study, 120 diabetic adolescents were selected from a pool of referrals to the Diabetes Center at Sina Hospital affiliated to the Tabriz University of Medical Sciences, using the convenience sampling process. Adolescents completed a demographic and clinical characteristics questionnaire, the Diabetes-Specific Quality Of Life Brief Clinical Inventory (DQOL-BCI), as well as the Self-Care Appraisal Scale. Statistical analysis included Pearson correlation coefficient, independent samples t-test, one-way ANOVA and linear regression. Data was analyzed by SPSS ver.16.Results: The mean score of quality of life and self-care agency was 32.14 (8.17) and 30.24 (8.64), respectively. There was a significant relationship between the quality of life and self-care agency (P<0.05). Furthermore, a significant correlation with some of the demographic and clinical characteristics was revealed (P<0.05).Conclusion: Based on the association between the quality of life and self-care agency in diabetic adolescents, researchers emphasize the need for planning diabetes education programs based on self-care training to improve the quality of life.
Fauci AS. Harrison's Principles of Internal Medicine Companion Handbook. 1998.
Safarabadi-Farahani T, Ali-Akbar M, Safarabadi-Farahani A, Haghani H. Quality of
life in young people with type 1 diabetes in relation to age and gender. Iran Journal of Nursing. 2011;23(68):73-9.
Golozar A, Khademi H, Kamangar F, Poutschi H, Islami F, Abnet CC, et al. Diabetes mellitus and its correlates in an Iranian adult population. PLoS One. 2011;6(10):26-5.
Esmaillzadeh A, Mirmiran P, Azadbakht L, Etemadi A, Azizi F. High prevalence of the metabolic syndrome in Iranian adolescents. Obesity. 2006;14(3):377-82.
Al-Akour N, Khader YS, Shatnawi NJ. Quality of life and associated factors among Jordanian adolescents with type 1 diabetes mellitus. Journal of Diabetes and its Complications. 2010;24(1):43-7.
Daneman D. Type 1 diabetes. The Lancet. 2006;367(9513):847-58.
Hanna KM, Guthrie D. Adolescents' behavioral autonomy related to diabetes management and adolescent activities/rules. The Diabetes Educator. 2003;29(2):283-91.
Fawcett J. The Nurse Theorists: 21st-Century Updates—Dorothea E. Orem. Nursing Science Quarterly. 2001;14(1):34-8.
kermansaravi F, Navidian A, Ansarymoghadam A. Quality of Life in Type 1 Diabetic Adolescents in Zahedan Iranian Journal
Of Endocrinology And Metabolism. 2012;13(6):651-7.
Rezaaei J, Rezaaei M, Razlaansari H, Khaaledi B, Teymouri B, Khaatooni A, et al. Self-care in Insulin therapy among type I diabetics referring to the diabetes research center (Kermanshah, 1999). Journal Of Kermanshah University Of Medical Sciences. 2003;6(4):47-57.
Orem DE, Taylor SG, Renpenning KM. Nursing concepts of practice. 1995.
Becker G, Gates RJ, Newsom E. Self-care among chronically ill African Americans: culture, health disparities, and health insurance status. American Journal of Public Health. 2004;94(12):2066-73.
Heinrich E, Schaper NC, de Vries NK. Self-management interventions for type 2 diabetes: a systematic review. European Diabetes Nursing. 2010;7(2):71-6.
Eppens MC, Craig ME, Cusumano J,
Hing S, Chan AK, Howard NJ, et al. Prevalence of diabetes complications in adolescents with type 2 compared with type 1 diabetes. Diabetes care. 2006;29(6):1300-6.
Walker RJ, Smalls BL, Hernandez-Tejada MA, Campbell JA, Egede LE. Effect of diabetes self-efficacy on glycemic control, medication adherence, self-care behaviors, and quality of life in a predominantly low-income, minority population. Ethnicity & disease. 2014;24(3):349-55.
Afshar M, Memarian R, Mohammadi I. Investigating the relationship between quality of life, self-care capability and HbA1c level in diabetic adolescents. Feyz Journal of Kashan University of Medical Sciences. 2014;18(1).
Slim IBHS. Cardiovascular risk in type 1 diabetes mellitus. Indian journal of endocrinology and metabolism. 2013;17(Suppl1):S7.
Tan MY, Magarey J. Self-care practices of Malaysian adults with diabetes and sub-optimal glycaemic control. Patient education and counseling. 2008;72(2):252-67.
Sousa VD, Zauszniewski JA, Bergquist‐Beringer S, Musil CM, Neese JB, Jaber AaF. Reliability, validity and factor structure of the Appraisal of Self‐Care Agency Scale–Revised (ASAS‐R). Journal of evaluation in clinical practice. 2010;16(6):1031-40.
Sousa VD, Zauszniewski JA, Zeller RA, Neese JB. Factor analysis of the appraisal of self-care agency scale in American adults with diabetes mellitus. The Diabetes Educator. 2008;34(1):98-108.
Burroughs TE, Desikan R, Waterman BM, Gilin D, McGill J. Development and validation of the diabetes quality of life brief clinical inventory. Diabetes Spectrum. 2004;17(1):41-9.
Mirfeizi M, Jafarabadi MA, Toorzani ZM, Mohammadi SM, Azad MD, Mohammadi AV, et al. Feasibility, reliability and validity of the Iranian version of the Diabetes Quality of Life Brief Clinical Inventory (IDQOL-BCI). Diabetes research and clinical practice. 2012;96(2):237-47.
Afshar M, Memarian R, Mohammadi E. The effect of group discussion on the quality of
life and HbA1c levels of adolescents with diabetes. Iranian Red Crescent Medical Journal. 2014;16(8).
Lindeboom M, Llena-Nozal A, van der Klaauw B. Parental education and child health: Evidence from a schooling reform. Journal of health Economics. 2009;28(1):109-31.
Mohammadi S, Karim NA, Talib RA, Amani R. Evaluation of quality of life among type 2 diabetes patients. International Journal Of Community Medicine And Public Health. 2017;3(1):51-6.
Brown DW, Balluz LS, Giles WH, Beckles GL, Moriarty DG, Ford ES, et al. Diabetes mellitus and health-related quality of life among older adults: Findings from the behavioral risk factor surveillance system (BRFSS). Diabetes research and clinical practice. 2004;65(2):105-15.
Kiadaliri AA, Najafi B, Mirmalek-Sani M. Quality of life in people with diabetes: a systematic review of studies in Iran. Journal of Diabetes & Metabolic Disorders. 2013;12(1):54.
Cavanaugh K, Huizinga MM, Wallston KA, Gebretsadik T, Shintani A, Davis D, et al. Association of Numeracy and Diabetes ControlNumeracy and Diabetes Control. Annals of internal medicine. 2008;148(10):737-46.
Rostami S, Naseri M, Dashtbozorgi B, Zarea K, Riaahi Qhahfarrokhi K, Haghighizadeh MH. Effects of Group Training on Depression and Anxiety among Patients with Type I Diabetes: a Randomized Clinical Trial. International Journal of Pediatrics. 2016;4(5):1777-86.
Jahanlou AS, Karami NA. The effect of literacy level on health related-quality of life, self-efficacy and self-management behaviors in diabetic patients. Acta Medica Iranica. 2011;49(2):153-8.
Moore SM, Hackworth NJ, Hamilton VE, Northam EP, Cameron FJ. Adolescents with Type 1 Diabetes: parental perceptions of child health and family functioning and their relationship to adolescent metabolic control. Health and quality of life outcomes. 2013;11(1):50.