Relationship among nursing support for parents of adolescents diagnosed with Type 1 Diabetes, parental monitoring of adolescents and the self-efficacy of adolescents with Type 1 Diabetes

• Published in: Journal of pediatric nursing 2025-01, Vol.80, p.9-15
• Main Authors: Öztaş, Gülay, Aydın, Ayla İrem, Atak, Meryem, Özyazıcıoğlu, Nurcan, Sağlam, Halil
• Format: Article
• Language: English
• Subjects: Adolescent; Nurse; Parent; Self-management; Support; Type 1 diabetes
• ISSN: 0882-5963; 1532-8449; 1532-8449
• DOI: 10.1016/j.pedn.2024.10.040

This study aims to explore the connection between parental monitoring in the treatment of adolescents with type 1 diabetes mellitus (T1DM), the self-efficacy of adolescents with diabetes, and nurse assistance provided to parents of adolescents with T1DM. This cross-sectional descriptive study consisted of 115 adolescents aged 10–18 with T1DM and their parents. Study data were collected through the “Diabetes Management Self-Efficacy Scale in Adolescents with T1DM”, “Introductory Information Form”, “Nurse-Parent Support Tool (NPST)” and “Parental Monitoring of Diabetes Care Questionnaire in Adolescents with T1DM”. Only 31.3 % of the study adolescent participants reported monitoring their blood sugar less than four times per day, and the frequency of blood sugar monitoring increased with increasing parental supervision (p = 0.021). When diabetes was managed only by parents, adolescents' perceptions of their self-management were statistically significant and high (p = 0.015). Neither the level of nurse-parent support nor the connection between parental monitoring and adolescents' self-efficacy was statistically significant. Adolescents with T1DM should receive support from both parents and medical professionals. In particular, nurses should closely inquire about the adolescent's and family's disease management strategies during hospital visits and health monitoring. •Blood sugar control is performed more frequently when parental supervision grows.•Parental monitoring was higher in the first years after diagnosis, was highest in the 5–10 years of diagnosis, and decreased in the following periods.•Adolescents perceived their self-efficacy to be high when parents were the primary person managing diabetes.•The study found no correlation between parents' follow-up of adolescents with T1DM and the support they received from nurses.