00000cam a22000004a 4500 UP-1685523046125428768 Buklod 20230503092606.0 a r |||| u| ta 060815s1996 xx |||| r |||| u| d (iLib)UPMNL-00000056189 LG 995 1996 N8 C78 Cruz, Jayvee G. Determinants of compliance to therapeutic regimen among selected Filipino juvenile diabetics Jayvee G. Cruz. 158 leaves. Thesis (Master of Arts in Nursing)--University of the Philippines Manila. By the end of the century, more than one hundred million people will have diabetes. Much of the increase will come from underdeveloped and underprivileged communities like the Philippines. Juvenile diabetes, the type which afflicts children and young adults, constitute approximately twenty percent of the entire diabetic populace.Compliance to the therapeutic regimen among these age groups persists as a challenge for nurses and other members of the health care team. If their condition remains poorly controlled, the unwanted and almost fatal complications will be evident in ten years. This study has attempted to identify the determinants of compliance to the therapeutic regimen among selected Filipino juvenile diabetics.The study's conceptual framework is premised on the fact that therapeutic regimen is prescribed to improve the condition of those having diabetes. The variables investigated in this study are: demographic variables, regimen-associated variables and psychosocial variables. They are hypothesized as determinants to the compliant behavior of diabetic clients.This study utilized the non-experimental, descriptive design. The sampling method used was purposive with snowball techniques. The participants totaling to 85 juvenile diabetics came from the diabetic clinics in Metro Manila, namely: the Juvenile Diabetes Foundation, Incorporated clinic at the Lung Center of the Philippines, the Institute for Studies on Diabetes Foundation, Incorporated clinic at the University of the East Ramon Magsaysay Memorial Medical Center and at the St. Luke's Medical Center.The instrument consisted of two sets of questionaires. The first part elicited information on the different factors that may affect the compliance of the participants on the therapeutic regimen. The second part focused on the participants' evaluation of self-esteem and body image.Descriptive statistics such as the mean, mode and percentages were utilized to analyze the data that described certain behavioral phenomena. These enhanced the significance of the variables under investigation. Inferential statistics such as the relational Chi-square and Fisher's Exact Test were applied to determine which among certain variables significantly relate with the compliance behavior of participants. To predict variables towards compliance to therapeutic regimen, the Forward Wald Logistics Regression was used.Level of significance was preset at .05.The significant findings of the study revealed that the presence of problems with diet and income were the best predictor of compliance to diet among all the variables investigated. These accounted 39of the variance in compliance. On compliance to exercise regimen, significantpredictors are frequency of exercise, and the perception that bodily changes affected body-image and self-esteem. Together, these variables explain 43of the variance in the compliance toward exercise regimen. On compliance to exercise regimen, significantpredictors are frequency of exercise, and the perception that bodily changes affected body-image and self-esteem. Together, these variables explain 43of the variance in the compliance toward exercise regimen. On compliance to insulin administration, perceived importance of following insulin administration and relationship with physician, accounted for 42of the variance's significance.Perceived importance of the regimen has been consistently identified to significantly relate with compliance to all components of the therapeutic regimen.From the findings, recommendations are directed towards this: that nurses be active and assertive in health promotion and disease prevention through health education since this is the prime function of their health promotion role. An understanding and sympathetic attitude in dealing with juvenile diabetics; involving the clients' family members and significant others in planning for clients' care; assessing clients' repertoire of coping mechanisms are factors the nurse must consider in drawing up their clients' plan of care.It is likewise recommended that a diabeticsubspecialty in nursing be created to equip specialized knowledge and skills about complexities in diabetes care. More studies correlating compliance to therapeutic regimen with the quality of life among children and adolescents in the Philippines with insulin-dependent diabetes should be encouraged among nurses as chief investigators.Legislation is proposed to officially designate diabetes nurseclinicians or practitioners in every institution or clinic where diabetes is treated. Diabetes in children. Patient compliance. Juvenile diabetics. UPMNL NURS LG 995 1996 N8 C78 Book