日本国際看護学会誌

第6巻第１号

2022

Parental perceptions on the self-care behaviour of adolescents with T1DM within
the Sri Lankan socio-cultural context: Qualitative approach〇A.M.S. Deepanie Pathiranage1*, Yoshie Mori2, KSH de Silva3
1
Department of Nursing, Faculty of Allied Health Sciences, University of Peradeniya, Sri Lanka,
2
Graduate School of Health Sciences, Gunma University,Japan,
3
Department of Paediatrics, Faculty of Medicine, University of Colombo,Sri Lanka【Introduction】
by following Miles, Herbaman and Saldana’s .thematic analytical
Type 1 Diabetes Mellitus. (T1 DM) is a chronic metabolic disease withmethod and NVIVO 8 software was used to facilitate data management.

long term psychological and behavioural implications. Self-care

Triangulation of data collection and member

behaviour is the cornerstone of adapting to the condition. The living

checking procedure were utilize to ensure Ethical approval was grantedsocio-cultural context directly influences the self-care behaviour offrom the University of Peradeniya. Sri Lanka.

adolescents with T1 DM. None of the available studies has discussed thisarea in the adolescents with T1 DM in Sri Lanka. The aim of the study【Results】

was to explore the self-care behaviour of adolescents with T1DM within

Twenty parents expressed their perceptions on self-care behaviour of thethe Sri Lankan socio-cultural context.

adolescents with T1 DM. “Parental perceptions involve the autonomyof adolescents; “Family dynamics have affected self-care behaviour”;【Method】“Self-care behaviour exposed to cultural beliefs and practices”; “Thesocial stigma on diabetes interferes with self-care Behaviour”, “FoodThe ethnographic qualitative approach was accomplished, andMedeleine Leininger’s Sunrise Enabler was considered the theoreticalunderpinning of the qualitative approach. Parents of adolescents withType 1 Diabetes Mellitus were the target group.

Parents in Sinhala

ethnic group were included, and parents who presented with psychiatriccontrol is associated with socio-cultural concepts and practices” were
the identified core themes. Try to avoid the social recognition of the childas “not being a normal person” , “uncertain future due to cultural norms
towards diabetes” , “experience of traditional methods of treatment andremedies” were the highlighted subthemes.

illness were excluded from the study.
The purposive sampling technique was utilized to explore data from【Discussion】

information-rich participants. Twenty parents were interviewed (nineteenmothers and one father). Data were collected using a semi-structured

The strong bond between parents and children resulted in negativeinterview guide, observation method and continuing field notes. Several

influence on developing of self-care capabilities among the children due

home visits were done as the preferred schedule of the participants. The

to parents trying to complete all the activities on behalf of the child.

researcher spent adequate time to build a friendly relationship with theFurther, behaving to avoid social stigma affected to self-care behaviour

whole family and data collection was continued gradually within thenegatively. Health care providers should be considered the socio-cultural

natural setting by respecting ethical principles.

influence on the self-care of adolescents with diabetes.

Interviews wereconducted using pretested semi-structured interview guide and two voicerecorders were used to record the data during the interviews to assure thesafety and accuracy of the data. The interview data were transcribed
immediately after the interviews. The transcribed data were analyzed

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