Adolescents’ perceptions of physicians, nurses, parents and friends: help or hindrance in compliance with diabetes self‐care?

Abstract

Although compliance with self-care amongst adolescents with diabetes is known to be problematic, this issue has rarely been examined from the perspective of young diabetics themselves. The purpose of the study was to explore how adolescents with diabetes perceived the actions of physicians, nurses, parents and friends in relation to compliance with self-care. Fifty-one young diabetics aged from 13 to 17 responded to a questionnaire concerning compliance and were interviewed on the topic of compliance. Interview data were analysed by content analysis. The categories obtained were quantified and the relationship between compliance and the actions of physicians, nurses, parents and friends analysed by cross-tabulation. Interviews with 51 adolescents showed that the actions of physicians, nurses and parents described as motivating were associated with better compliance. Good compliance was also more evident when parental actions were perceived as accepting. Young diabetics whose friends offered silent support, or who viewed friends as irrelevant, were more likely to report good compliance. In contrast, physicians' actions described as routine/negligent, disciplined control by parents, and domination by friends were linked with poor compliance.

Illness representations, emotional distress, coping strategies, and coping efficacy as predictors of patient outcomes in type 2 diabetes

“…Several studies have explored the concept of empowerment in individuals with diabetes (Anderson et al, 1995;Anderson et al, 2005;DeCoster & George, 2005, Greenfield, Kaplan, Ware, Yano, & Frank, 1988Kyngas, Hentinen, & Barlow, 1998;Pibernik-Okanovic, Prasek, PoljicaninFilipovic, Pavlic-Renar, & Meteklo, 2004;Rost, 1989;Street et al, 1993;Williams, Freedman, & Deci, 1998). Studies have supported that empowerment focused education programs were linked to significant improvements in diabetes self-efficacy, self-care behaviors, and reduction in A1c levels (Anderson et al, 1995;Anderson et al, 2005;DeCoster & George, 2005;& Pibernick-Okanovic et al, 2004).…”

“…Interactions with nurses who were controlling and directive in their communication resulted in poorer metabolic control (Street et al, 1993). Kyngas et al (1998) found adolescents' perceptions of their health care professional greatly impacted compliance to the treatment regimen. In this study, health care professionals, who were described as motivating, empowered the adolescents to have better compliance and better metabolic control.…”

Control metabólico en pacientes diabéticos tipo 1 chilenos: rol del estrés psicológico

“…En este sentido parece muy importante para futuros estudios indagar en las percepciones que los adolescentes tienen sobre el equipo médico y analizar la relación médico-paciente, aspecto que resulta crítico en la construcción de una alianza terapéutica que beneficie al paciente. Al respecto, Kyngas, Hentinen y Barlow 27 reportaron que adolescentes DM1 con buena adherencia al tratamiento tienden a reportar las acciones del médico como no autoritarias (considerando la opinión del paciente) y no rutinarias (la opinión del paciente es considerada en las recomendaciones que el médico provee y éstas son más bien flexibles).…”

„Esu toks pats ar kitoks?“ Kitoniškumo įveikos strategijos paauglių, sergančių i tipo cukriniu diabetu, ir bendraamžių santykiuose

“…Jeigu sergančiajam rekomenduojamas gyvenimo būdas ne toks kaip bendraamžių, jam gali būti sunku jaustis visaverčiu grupės dalyviu. Šiuo atveju jaunuolis gali nesirūpinti ligos gydymu dėl poreikio pritapti prie bendraamžių (Kyngäs, Hentinen, Barlow, 2002). Pasak Galaguzovos (2001) (Cit.…”