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Healthcare Transition Readiness, Family Support, and Self-management Competency in Korean Emerging Adults with Type 1 Diabetes Mellitus

Authors
 Gayeong Kim  ;  Eun Kyoung Choi  ;  Hee Soon Kim  ;  Heejung Kim  ;  Ho-Seong Kim 
Citation
 JOURNAL OF PEDIATRIC NURSING-NURSING CARE OF CHILDREN & FAMILIES, Vol.48 : e1-e7, 2019 
Journal Title
 JOURNAL OF PEDIATRIC NURSING-NURSING CARE OF CHILDREN & FAMILIES 
ISSN
 0882-5963 
Issue Date
2019
Keywords
Self-care ; Transition to adult care ; Type 1 diabetes mellitus ; Young adult
Abstract
PURPOSE: The current study investigated factors related to healthcare transition readiness, including family support and self-management competency, in emerging adults with Type 1 diabetes mellitus (T1DM). DESIGN AND METHODS: A cross-sectional survey was conducted with 87 individuals, aged 16-24 years. Participants were recruited both from the outpatient clinic of Severance Children's Hospital, and an online self-help group for emerging adults with T1DM in South Korea. Participants reported perceived levels of family support, self-management competency, and healthcare transition readiness through a structured questionnaire. RESULTS: Healthcare transition readiness was positively correlated with family support (r = 0.257, p = .016) and self-management competency (r = 0.606, p < .001). Multivariate linear regression analyses revealed that only self-management competency was a significant factor associated with healthcare transition readiness (β = 0.699, p < .001). CONCLUSIONS: For emerging adults with T1DM, ongoing family involvement in diabetes care and enhanced self-management competency can strengthen their healthcare transition readiness. Furthermore, primary factors associated with healthcare transition readiness in the present study were identified as self-management competency and participants' age. PRACTICE IMPLICATIONS: Healthcare providers should assess and enhance healthcare transition readiness in emerging adults with T1DM. A primary method of addressing transition readiness is helping people strengthen their self-management competency.
Full Text
https://www.sciencedirect.com/science/article/pii/S0882596319300557
DOI
10.1016/j.pedn.2019.03.012
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Pediatrics (소아청소년과학교실) > 1. Journal Papers
3. College of Nursing (간호대학) > Dept. of Nursing (간호학과) > 1. Journal Papers
Yonsei Authors
Kim, Ho Seong(김호성) ORCID logo https://orcid.org/0000-0003-1135-099X
Kim, Hee Soon(김희순) ORCID logo https://orcid.org/0000-0001-6656-0308
Kim, Heejung(김희정) ORCID logo https://orcid.org/0000-0003-3719-0111
Choi, Eun Kyoung(최은경) ORCID logo https://orcid.org/0000-0003-4622-2437
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/173532
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