Factors Affecting Adherence toward Therapeutic Regimen among Children with Type 1 Diabetes Mellitus
Elsayed Abdel Aziz, R., Salah Eldin Alrafay, S., Mohamed Matter, R., El Sayed Hassan, S. (2019). Factors Affecting Adherence toward Therapeutic Regimen among Children with Type 1 Diabetes Mellitus. EKB Journal Management System, 10(3), 159-172. doi: 10.21608/ejhc.2019.54387
Rahma Elsayed Abdel Aziz; Safy Salah Eldin Alrafay; Randa Mohamed Matter; Salma El Sayed Hassan. "Factors Affecting Adherence toward Therapeutic Regimen among Children with Type 1 Diabetes Mellitus". EKB Journal Management System, 10, 3, 2019, 159-172. doi: 10.21608/ejhc.2019.54387
Elsayed Abdel Aziz, R., Salah Eldin Alrafay, S., Mohamed Matter, R., El Sayed Hassan, S. (2019). 'Factors Affecting Adherence toward Therapeutic Regimen among Children with Type 1 Diabetes Mellitus', EKB Journal Management System, 10(3), pp. 159-172. doi: 10.21608/ejhc.2019.54387
Elsayed Abdel Aziz, R., Salah Eldin Alrafay, S., Mohamed Matter, R., El Sayed Hassan, S. Factors Affecting Adherence toward Therapeutic Regimen among Children with Type 1 Diabetes Mellitus. EKB Journal Management System, 2019; 10(3): 159-172. doi: 10.21608/ejhc.2019.54387

Factors Affecting Adherence toward Therapeutic Regimen among Children with Type 1 Diabetes Mellitus

Egyptian Journal of Health Care
Article 11, Volume 10, Issue 3, September 2019, Page 159-172  XML PDF (391.31 K)
Document Type: Original Article
DOI: 10.21608/ejhc.2019.54387
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Authors
Rahma Elsayed Abdel Aziz1; Safy Salah Eldin Alrafay1; Randa Mohamed Matter2; Salma El Sayed Hassan1
1Department of Pediatric Nursing, Faculty of Nursing, Ain Shams University
2Department of Pediatric medicine, Faculty of medicine, Ain Shams University
Abstract
Background: Although medication adherence is important for diabetic children to prevent disease-related complications and improve quality of life, the rate of children adherence to therapeutic regimen is somewhat disturbing. Hence, this study aimed to assess factors affecting adherence toward therapeutic regimen among children with type 1 Diabetes Mellitus. Design: Descriptive exploratory design. Setting: This study was conducted at Diabetic Outpatient Clinic in Children's Hospital affiliated to Ain Shams University Hospitals. Sampling: A purposive sample comprised of 175 children with type 1 Diabetes Mellitus. Tools:I- Interviewing questionnaire; it was used to assess factors affecting adherence toward therapeutic regimen II-Morisky Scale: it was used to assess children' adherence to medication. Results: This study revealed that the mean age of studied children was 13.01±2.4yearsand slightly more than half of them were female. Most of studied children were adhered toward medication regimen and had agreement with beliefs toward therapeutic regimen. In addition, more than half of studied children had positive attitude factors toward adherence to therapeutic regimen, had social support factors to therapeutic regimen and did not have sufficient health care system factors. Conclusions: Attitude factors, social support factors, therapy factors, health care system factors and disease factors positively affected studied children’ adherence towards therapeutic regimens. Meanwhile, beliefs factors and motivation factors did not have a significant effect on studied children' adherence towards therapeutic regimen. Recommendation: Continuous health teaching to children with type 1 diabetes to improve their adherence.
Keywords
Children – Adherence; Therapeutic Regimen – T1DM
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