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Adherence behaviours in Taiwanese children and adolescents with type 1 diabetes mellitus.

Abstract：

UNLABELLED:aims and objective: To describe the current non-adherence behaviours of Taiwanese children with type 1 diabetes mellitus. BACKGROUND:Poor adherence to prescribed protocols of long-term therapies is a pervasive and costly problem in the care of children with chronic illnesses. Non-adherence to diabetes mellitus treatment regimens of Taiwanese children with type 1 diabetes mellitus in Taiwan has not been well documented. DESIGN:Cross-sectional data were collected from 101 patients who had type 1 diabetes mellitus and were between the ages of 10 and 18 years. METHOD:Five types of adherence behaviours were measured: number of calories consumed per day, frequency of meals, self-monitoring of blood glucose, amount of time between injections and meals and frequency of exercise. RESULTS:Only 25% of patients consumed the ideal daily number of calories (within +/-10% of the ideal range), while 48% of patients consumed 10% fewer calories than the suggested ideal daily number of calories. Only 28% of patients consumed the ideal percentage (50-60%) of calories from carbohydrates. Approximately 15% of patients consumed >60% of their calories from carbohydrates and 30% of their calories from fat. Approximately 30% of patients ate their meals 20-40 minutes after injection; some patients ate their meals within 20 minutes after injection (45% in the morning and 33% in the evening). For frequency of meals, most patients (> or =90%) ate their regular three meals, three or four times per day; only 18% ate the ideal number of six times per day. For self-monitoring of blood glucose, most patients (>70%) tested their blood sugar twice a day, once in the morning and again in the evening. In terms of frequency of exercise, 48% of patients exercised once per day and 43% of patients did not exercise at all. Only 7% of patients met the good diabetes control of HbA(1c) < 7%; almost half of the patients had HbA(1c) > 10%. CONCLUSIONS:Overall, the patients had poor adherence behaviours in each aspect of diabetes mellitus management and diabetes control total glycosylated haemoglobin (HbA(1c)) was very poor. RELEVANCE TO CLINICAL PRACTICE:Studies are needed to explore factors related to non-adherence to treatment regimens as well as poor control of diabetes among Taiwanese children with type 1 DM.

journal_name

J Clin Nurs

journal_title

Journal of clinical nursing

authors

Chang CW,Yeh CH,Lo FS,Shih YL

doi

10.1111/j.1365-2702.2005.01541.x

subject

Has Abstract

pub_date

2007-07-01 00:00:00

pages

207-14

issue

eissn

0962-1067

issn

1365-2702

pii

JCN1541

journal_volume

pub_type

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Adherence behaviours in Taiwanese children and adolescents with type 1 diabetes mellitus.