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A Qualitative Exploration of Self-Care Behaviors for Disease and Symptom Management Among College Students With Type 1 Diabetes Mellitus- [electronic resource]
A Qualitative Exploration of Self-Care Behaviors for Disease and Symptom Management Among ...
A Qualitative Exploration of Self-Care Behaviors for Disease and Symptom Management Among College Students With Type 1 Diabetes Mellitus- [electronic resource]

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자료유형  
 학위논문파일 국외
최종처리일시  
20240214100429
ISBN  
9798380329743
DDC  
371
저자명  
McFadden, Ny'Nika T.
서명/저자  
A Qualitative Exploration of Self-Care Behaviors for Disease and Symptom Management Among College Students With Type 1 Diabetes Mellitus - [electronic resource]
발행사항  
[S.l.]: : The University of Alabama., 2023
발행사항  
Ann Arbor : : ProQuest Dissertations & Theses,, 2023
형태사항  
1 online resource(370 p.)
주기사항  
Source: Dissertations Abstracts International, Volume: 85-03, Section: B.
주기사항  
Advisor: Wilkerson, Amanda H.
학위논문주기  
Thesis (Ph.D.)--The University of Alabama, 2023.
사용제한주기  
This item must not be sold to any third party vendors.
초록/해제  
요약Although only 2.5% of college students have been diagnosed with Type 1 Diabetes Mellitus (T1DM), the effects of inadequate management can lead to hospitalizations, additional development of chronic health conditions, and early mortality. Therefore, T1DM self-care behaviors (e.g., administering insulin, monitoring blood glucose) must be performed to minimize disease exacerbations. Previous research has shown that college students with T1DM are improperly administering insulin and infrequently monitoring their blood glucose levels. Though previous research has utilized quantitative and qualitative methods to examine T1DM self-care behaviors among college students with T1DM, the literature is limited on disease and symptom management experiences among college students with T1DM. Therefore, this qualitative study used the middle-range theory of self-care of chronic illness integration of symptoms as a theoretical framework to conceptualize and explore T1DM self-care behaviors utilized for disease and symptom management.Participants engaged in self-care maintenance through carrying supplies, inserting consumed carbohydrates into their medical device, checking blood glucose, administering insulin, and engaging in physical activity. Self-care monitoring behaviors included recording and tracking changes to their blood glucose. Self-care management behaviors consisted of adjusting insulin rates, changing pump/pod sites, and consulting with their provider. Symptom management findings were physiological awareness and technology alerts to determine that symptoms were present (i.e., symptom detection). Symptom interpretation experiences included analyzing blood glucose trends and examining the situational causes of their blood glucose changing. Symptom response experiences consisted of immediately responding to hypoglycemia and situational responses to hyperglycemia. Barriers and facilitators that impacted T1DM self-care behaviors included barriers such as 1) diabetes burnout, 2) college lifestyle, 3) difficulty receiving medical supplies, 4) insurance limitations, and the facilitators consisted of 1) years of experience, 2) tangible support with supplies, 3) emotional support for disease and symptom management, 4) informational support for disease management, and 5) technology assistance for disease and symptom management. Findings from this study can be used for future interventions for college students with T1DM, and can guide healthcare professionals, health education and promotion practitioners, and family, friends, and romantic partners on how to support disease and symptom management among full-time college students.
일반주제명  
Health education.
일반주제명  
Health sciences.
일반주제명  
Health care management.
키워드  
Chronic illness
키워드  
College students
키워드  
Self-care behaviors
키워드  
Type 1 Diabetes Mellitus
키워드  
Self-care management
기타저자  
The University of Alabama Health Education/Promotion
기본자료저록  
Dissertations Abstracts International. 85-03B.
기본자료저록  
Dissertation Abstract International
전자적 위치 및 접속  
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MARC

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■1001  ▼aMcFadden,  Ny'Nika  T.
■24512▼aA  Qualitative  Exploration  of  Self-Care  Behaviors  for  Disease  and  Symptom  Management  Among  College  Students  With  Type  1  Diabetes  Mellitus▼h[electronic  resource]
■260    ▼a[S.l.]:▼bThe  University  of  Alabama.  ▼c2023
■260  1▼aAnn  Arbor  :▼bProQuest  Dissertations  &  Theses,  ▼c2023
■300    ▼a1  online  resource(370  p.)
■500    ▼aSource:  Dissertations  Abstracts  International,  Volume:  85-03,  Section:  B.
■500    ▼aAdvisor:  Wilkerson,  Amanda  H.
■5021  ▼aThesis  (Ph.D.)--The  University  of  Alabama,  2023.
■506    ▼aThis  item  must  not  be  sold  to  any  third  party  vendors.
■520    ▼aAlthough  only  2.5%  of  college  students  have  been  diagnosed  with  Type  1  Diabetes  Mellitus  (T1DM),  the  effects  of  inadequate  management  can  lead  to  hospitalizations,  additional  development  of  chronic  health  conditions,  and  early  mortality.  Therefore,  T1DM  self-care  behaviors  (e.g.,  administering  insulin,  monitoring  blood  glucose)  must  be  performed  to  minimize  disease  exacerbations.  Previous  research  has  shown  that  college  students  with  T1DM  are  improperly  administering  insulin  and  infrequently  monitoring  their  blood  glucose  levels.  Though  previous  research  has  utilized  quantitative  and  qualitative  methods  to  examine  T1DM  self-care  behaviors  among  college  students  with  T1DM,  the  literature  is  limited  on  disease  and  symptom  management  experiences  among  college  students  with  T1DM.  Therefore,  this  qualitative  study  used  the  middle-range  theory  of  self-care  of  chronic  illness  integration  of  symptoms  as  a  theoretical  framework  to  conceptualize  and  explore  T1DM  self-care  behaviors  utilized  for  disease  and  symptom  management.Participants  engaged  in  self-care  maintenance  through  carrying  supplies,  inserting  consumed  carbohydrates  into  their  medical  device,  checking  blood  glucose,  administering  insulin,  and  engaging  in  physical  activity.  Self-care  monitoring  behaviors  included  recording  and  tracking  changes  to  their  blood  glucose.  Self-care  management  behaviors  consisted  of  adjusting  insulin  rates,  changing  pump/pod  sites,  and  consulting  with  their  provider.  Symptom  management  findings  were  physiological  awareness  and  technology  alerts  to  determine  that  symptoms  were  present  (i.e.,  symptom  detection).  Symptom  interpretation  experiences  included  analyzing  blood  glucose  trends  and  examining  the  situational  causes  of  their  blood  glucose  changing.  Symptom  response  experiences  consisted  of  immediately  responding  to  hypoglycemia  and  situational  responses  to  hyperglycemia.  Barriers  and  facilitators  that  impacted  T1DM  self-care  behaviors  included  barriers  such  as  1)  diabetes  burnout,  2)  college  lifestyle,  3)  difficulty  receiving  medical  supplies,  4)  insurance  limitations,  and  the  facilitators  consisted  of  1)  years  of  experience,  2)  tangible  support  with  supplies,  3)  emotional  support  for  disease  and  symptom  management,  4)  informational  support  for  disease  management,  and  5)  technology  assistance  for  disease  and  symptom  management.  Findings  from  this  study  can  be  used  for  future  interventions  for  college  students  with  T1DM,  and  can  guide  healthcare  professionals,  health  education  and  promotion  practitioners,  and  family,  friends,  and  romantic  partners  on  how  to  support  disease  and  symptom  management  among  full-time  college  students.
■590    ▼aSchool  code:  0004.
■650  4▼aHealth  education.
■650  4▼aHealth  sciences.
■650  4▼aHealth  care  management.
■653    ▼aChronic  illness
■653    ▼aCollege  students
■653    ▼aSelf-care  behaviors
■653    ▼aType  1  Diabetes  Mellitus
■653    ▼aSelf-care  management
■690    ▼a0680
■690    ▼a0566
■690    ▼a0769
■71020▼aThe  University  of  Alabama▼bHealth  Education/Promotion.
■7730  ▼tDissertations  Abstracts  International▼g85-03B.
■773    ▼tDissertation  Abstract  International
■790    ▼a0004
■791    ▼aPh.D.
■792    ▼a2023
■793    ▼aEnglish
■85640▼uhttp://www.riss.kr/pdu/ddodLink.do?id=T16932216▼nKERIS▼z이  자료의  원문은  한국교육학술정보원에서  제공합니다.
■980    ▼a202402▼f2024

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