Abstract：
AIMS:The purpose of this integrative review was to describe the relationship between diabetes self-management and metabolic control in youth with type 1 diabetes and to explore factors which affect this relationship. BACKGROUND:In the past 15 years, research has indicated that youth with type 1 diabetes face considerable self-management challenges and are at increased risk for poor metabolic control. To enhance the development of behavioural interventions for youth with type 1 diabetes, the relationship between diabetes self-management and metabolic control needs to be more clearly elucidated. DATA SOURCES:Research studies that examined the relationship between diabetes self-management and metabolic control in youth with type 1 diabetes were included (n = 18). The electronic databases searched included OVID, MEDLINE (1996 to present), SCOPUS (1996 to January 2010) and PubMed (1996 to January 2010). REVIEW METHOD:An integrative literature review was carried out using Whittemore's modified framework for data collection, analysis and synthesis. RESULTS:A positive relationship between diabetes self-management and metabolic control in youth with type 1 diabetes was supported in longitudinal studies and in studies where the mean age was >13 years. Factors influencing this relationship are identified. Measurement of self-management was quite variable. CONCLUSION:Interventions targeting self-management in youth with type 1 diabetes are indicated, particularly in families of diverse race and ethnicity globally. Further evaluation of the measures of self-management and more longitudinal research are also indicated.
journal_name
J Adv Nursjournal_title
Journal of advanced nursingauthors
Guo J,Whittemore R,He GPdoi
10.1111/j.1365-2648.2011.05697.xsubject
Has Abstractpub_date
2011-11-01 00:00:00pages
2294-310issue
11eissn
0309-2402issn
1365-2648journal_volume
67pub_type
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