자료유형  

 학위논문

Control Number  

0016934108

International Standard Book Number  

9798380388986

Dewey Decimal Classification Number  

610.73

Main Entry-Personal Name  

Matus, Austin.

Publication, Distribution, etc. (Imprint  

[S.l.] : University of Pennsylvania., 2023

Publication, Distribution, etc. (Imprint  

Ann Arbor : ProQuest Dissertations & Theses, 2023

Physical Description  

1 online resource(133 p.)

General Note  

Source: Dissertations Abstracts International, Volume: 85-03, Section: B.

General Note  

Advisor: Matura, Lea Ann.

Dissertation Note  

Thesis (Ph.D.)--University of Pennsylvania, 2023.

Restrictions on Access Note  

This item must not be sold to any third party vendors.

Summary, Etc.  

요약Background: Self-care of individuals with type 1 diabetes (T1D) may play a significant role in development and treatment of impaired awareness of hypoglycemia (IAH). This dissertation aimed to identify and define characteristics of self-care clusters in adults with T1D, explore the interrelationships between attitudes, self-care, and IAH within clusters qualitatively, and integrate findings to develop a typology.Methods: Adults (n=200, 27% Black, 61% female) with T1D (mean(SD) age: 39(15) years, T1D duration: 22(14) years) reported personal, clinical and social determinants of health, glycemic attitudes and self-care (Self-Care of Diabetes Inventory; 3 self-care scales: maintenance, monitoring, management; 1 confidence scale; scored 0-100; scores ≥ 70 are adequate). Cluster analysis via Ward's method was performed with self-care domains as criteria. Semi-structured qualitative interviews were performed and analyzed via directed content analysis. An integrated results matrix was employed to develop a typology of self-care in T1D.Results: A typology of three self-care types was found: Expert (n= 70, 70% White, 20% IAH, insulin pump use: 63%, mean(SD) age: 45 (17) years, T1D: 25 (16) years), Inconsistent (n= 112, 75% White, 30.4% IAH, Insulin Pump use: 75%, mean(SD) age: 37 (14) years, T1D: 21 (13) years), and Novice (n= 18, 39% White, 27.8% IAH, Insulin pump use: 44%, mean(SD) age: 27 (7) years, T1D: 16 (8) years. Expert was characterized by adequate self-care across domains (Mean (SD) maintenance: 84.9 (8.8), monitoring: 85.0 (8.8), management: 72.5 (10.0). Inconsistent was characterized by adequate maintenance (78.6 (8.9), and inadequate monitoring (65.6 (9.77)) and management (56.8 (10.1)). Novice was characterized by inadequate self-care across domains (maintenance: 51.9 (7.7), monitoring: 56.9 (12.9), management: 44.5 (6.3)). Types differed across age (p.001), race (p.01), insulin pump use (p.05), Self-Care Maintenance (p.001), Monitoring (p.001), and Management (p.001). No differences were found in IAH or T1D duration.Conclusions: This self-care typology may explain in-part heterogeneity in T1D outcomes such as IAH. Therefore, understanding a patient's self-care type may offer a more individualized approach for more effective treatment of IAH.

Subject Added Entry-Topical Term  

Nursing.

Subject Added Entry-Topical Term  

Medicine.

Subject Added Entry-Topical Term  

Nutrition.

Index Term-Uncontrolled  

Attitudes

Index Term-Uncontrolled  

Chronic illness

Index Term-Uncontrolled  

Diabetes

Index Term-Uncontrolled  

Self-care

Added Entry-Corporate Name  

University of Pennsylvania Nursing

Host Item Entry  

Dissertations Abstracts International. 85-03B.

Host Item Entry  

Dissertation Abstract International

Electronic Location and Access  

로그인을 한후 보실 수 있는 자료입니다.

Control Number  

joongbu:641173