The lived experience of adolescent females with type 1 diabetes

被引:45
作者
Dickinson, JK
O'Reilly, MM
机构
[1] Yampa Valley Med Ctr, Steamboat Springs, CO USA
[2] St Anselm Coll, Manchester, NH USA
关键词
D O I
10.1177/014572170403000117
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
PURPOSE he purpose of this study was to gain a better understanding of what it means for adolescent females to live with type I diabetes. METHODS Van Manen's phenomenological framework was used to guide the project of inquiry. Adolescents were recruited from a diabetes camp. A purposive sample of 10 adolescent females, aged 16 and 17 years, volunteered to participate in the study, Unstructured, one-on-one interviews were conducted and participants' accounts were transcribed and analyzed for themes. RESULTS Five themes were identified. (1) blending in with the adolescent culture, (2) standing out and being watched, (3) weighing the options and making choices, (4) being tethered to the system and to diabetes, and (5) struggling with conflicts. These adolescent females struggled with several conflicts and choices they were forced to make on a daily basis. They felt tethered to a disease that would never go away and to the healthcare system. Yet, they adopted ways to handle their disease so that it was manageable within the context of their lives. Fitting in with their peers was often more important than diabetes management. CONCLUSIONS Making visible the experience of adolescent females living with type I diabetes has implications for practice, education, and research in diabetes education.
引用
收藏
页码:99 / 107
页数:9
相关论文
共 36 条
[1]   IMPAIRED INSULIN ACTION IN PUBERTY - A CONTRIBUTING FACTOR TO POOR GLYCEMIC CONTROL IN ADOLESCENTS WITH DIABETES [J].
AMIEL, SA ;
SHERWIN, RS ;
SIMONSON, DC ;
LAURITANO, AA ;
TAMBORLANE, WV .
NEW ENGLAND JOURNAL OF MEDICINE, 1986, 315 (04) :215-219
[2]   Parental involvement in diabetes management tasks: Relationships to blood glucose monitoring adherence and metabolic control in young adolescents with insulin-dependent diabetes mellitus [J].
Anderson, B ;
Ho, J ;
Brackett, J ;
Finkelstein, D ;
Laffel, L .
JOURNAL OF PEDIATRICS, 1997, 130 (02) :257-265
[3]   EFFECTS OF PEER-GROUP INTERVENTION ON METABOLIC CONTROL OF ADOLESCENTS WITH IDDM - RANDOMIZED OUTPATIENT STUDY [J].
ANDERSON, BJ ;
WOLF, FM ;
BURKHART, MT ;
CORNELL, RG ;
BACON, GE .
DIABETES CARE, 1989, 12 (03) :179-183
[4]   An office-based intervention to maintain parent-adolescent teamwork in diabetes management - Impact on parent involvement, family conflict, and subsequent glycemic control [J].
Anderson, BJ ;
Brackett, J ;
Ho, J ;
Laffel, LMB .
DIABETES CARE, 1999, 22 (05) :713-721
[5]  
ANDERSON BJ, 1994, CHILDHOOD ADOLESCENT
[6]   PATIENT EMPOWERMENT - RESULTS OF A RANDOMIZED CONTROLLED TRIAL [J].
ANDERSON, RM ;
FUNNELL, MM ;
BUTLER, PM ;
ARNOLD, MS ;
FITZGERALD, JT ;
FESTE, CC .
DIABETES CARE, 1995, 18 (07) :943-949
[7]  
[Anonymous], 1995, DIABETES, V44, P968
[8]   So what's the difference between teenage boys and girls, anyway? [J].
Brink, S .
DIABETES CARE, 1997, 20 (11) :1638-1639
[9]  
Brink S.J., 1997, Diabetes Spectr, V10, P259
[10]   Clinical and psychological course of diabetes from adolescence to young adulthood - A longitudinal cohort study [J].
Bryden, KS ;
Peveler, RC ;
Stein, A ;
Neil, A ;
Mayou, RA ;
Dunger, DB .
DIABETES CARE, 2001, 24 (09) :1536-1540