Clinical Nursing Department, Faculty of Nursing, Zarqa University, Zarqa, Jordan.
Adult Health Nursing Department, Faculty of Nursing, Applied Science Private University, Amman, Jordan.
Sci Diabetes Self Manag Care. 2024 Dec;50(6):532-545. doi: 10.1177/26350106241279813. Epub 2024 Sep 25.
The purpose of the study was to assess self-efficacy among adolescents with type 1 diabetes mellitus and to identify its contributing factors using a new measure based on the International Society for Pediatric and Adolescent Diabetes Guidelines: the Type 1 Diabetes Mellitus Self-Efficacy Scale (T1DM-SES).
A descriptive, cross-sectional design was used to collect data from 161 adolescents ages between 12 and 18 via an online questionnaire survey, including demographic and management-related variables and the 21 items of T1DM-SES.
Results demonstrated that adolescents had high self-efficacy levels regarding the basic needs to manage their diabetes and relatively moderate and low levels regarding more sophisticated needs, such as adjusting insulin dose to correct fluctuated glucose levels, covering carbohydrates, and managing ketoacidosis at home. Adolescent females and adolescents who have working mothers or caregivers demonstrated higher levels of self-efficacy, whereas adolescents who have another family member with T1DM reported lower levels.
Assessing adolescents' self-efficacy using evidence-based measures is crucial for informing health education plans. There should be a greater focus on acquiring the advanced knowledge and skills necessary for adolescents to manage the constantly evolving challenges of diabetes management. Access to health care and sufficient health insurance coverage that encompasses modern technology are fundamental for the effective management of T1DM.
本研究旨在评估 1 型糖尿病青少年的自我效能，并使用基于国际儿童青少年糖尿病学会指南的新量表：1 型糖尿病自我效能量表（T1DM-SES）来确定其影响因素。
采用描述性、横断面设计，通过在线问卷调查收集了 161 名 12 至 18 岁青少年的人口统计学和管理相关变量及 T1DM-SES 的 21 个项目的数据。
结果表明，青少年在管理糖尿病的基本需求方面具有较高的自我效能感，但在调整胰岛素剂量以纠正波动的血糖水平、覆盖碳水化合物和在家管理酮症酸中毒等更复杂的需求方面，自我效能感处于中等和较低水平。女性青少年和有工作母亲或照顾者的青少年表现出更高的自我效能感，而有另一名 1 型糖尿病家庭成员的青少年则报告自我效能感较低。
使用基于证据的措施评估青少年的自我效能感对于制定健康教育计划至关重要。应该更加关注获取必要的先进知识和技能，使青少年能够应对糖尿病管理不断变化的挑战。获得医疗保健和涵盖现代技术的充足健康保险覆盖是有效管理 1 型糖尿病的基础。
