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278219

Barriers and Facilitators that Affect Self-Care Practices among Children with Type 1 Diabetes

Article

Last updated: 22 Jan 2023

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Abstract

Background: Type 1 Diabetes Mellitus (T1DM) is a more common disease in children. Self-care is
critical for disease management and lowering the risk of diabetes-related complications. Design: crosssectional
study was used. Sample: A purposive sample of 193children was included. Instruments:
Part I: Socio-demographic characteristics of children; Part II: Diabetes Self-Care Ability Questionnaire;
Part III: Barriers that hinder self-care; Part IV: Perception of studied children about potential facilitators
to self-care: Results: The highest barriers which hinder self-care practices were poor adherence to
medications, difficulty in following recommended dietary plans and lack of knowledge about the health
condition, additionally, anxious about the health condition as actually barriers that hinder self-care. The
top most facilitators as emotional support and allow clinic follow-up at the school, motivate the students
to adequate self-care and training program about disease as ways to facilitate self-care. Conclusion: More
than half of studied children had unsatisfactory total self-care, while more than one third of them had
satisfactory total self-care. Also, there was high negative correlation between total barriers and total selfcare
practices. Recommendations: Design implications for technologies to support collaborative care by
improving children's transition to independent illness management. Supplementing therapeutic education
with strategies designed to raise levels of motivation, discussion of beliefs about the disease

DOI

10.21608/ejnsr.2023.278219

Keywords

barriers, Facilitators, Self-care practices, children, Type 1 diabetes

Authors

First Name

Samar

Last Name

Salah Eldin Mohamed Diab

MiddleName

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Affiliation

Assistant Professor of Pediatric Nursing Faculty of Nursing, Menoufia University, Egypt

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First Name

Afaf

Last Name

Abdel Malek Hussein

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Affiliation

Assistant Professor of Family and Community Health Nursing Menoufia University, Egypt

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Volume

3

Article Issue

2

Related Issue

38565

Issue Date

2023-01-01

Receive Date

2022-12-17

Publish Date

2023-01-01

Page Start

669

Page End

684

Print ISSN

2682-4574

Link

https://ejnsr.journals.ekb.eg/article_278219.html

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https://ejnsr.journals.ekb.eg/service?article_code=278219

Order

35

Type

Original Article

Type Code

1,241

Publication Type

Journal

Publication Title

International Egyptian Journal of Nursing Sciences and Research

Publication Link

https://ejnsr.journals.ekb.eg/

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Article

Created At

22 Jan 2023