Startseite Self-care challenges in adolescents: a comprehensive literature review
Artikel
Lizenziert
Nicht lizenziert Erfordert eine Authentifizierung

Self-care challenges in adolescents: a comprehensive literature review

  • Maryam Masoumi und Zohreh Shahhosseini EMAIL logo
Veröffentlicht/Copyright: 24. Mai 2017

Abstract

Background

Adolescence is the period of accepting self-care responsibility. Many severe diseases that cause early mortality are rooted in adolescence. Hence, adolescence is the definitive time for preventive interventions such as self-care behaviors. In addition to the benefits of self-care behaviors, evidence shows that adolescents face barriers in performing self-care behaviors.

Objective

The aim of the current study to review the self-care challenges for adolescents.

Methods

Databases such as Google Scholar, ScienceDirect, PubMed, Web of Science, Scientific Information Database and Scopus were searched to extract papers published from 1994 to 2016 based on the inclusion criterion. The inclusion criterion was English language papers from famous authors on self-care behaviors in adolescents.

Results

The results of the current study showed that adolescents face cultural (two subcategories, beliefs and convictions, knowledge), socio-economic (five subcategories, family, healthcare providers, peers, social support, economic status) and personal (three subcategories, mental health, gender, ethnicity) challenges.

Conclusions

Self-care behaviors in adolescents are influenced by biological, psychological, economic and social factors. As this is a multifactorial process, people who deal with adolescents should have enough knowledge regarding adolescent health status and also learn how to perceive the role of culture in self-care behaviors of the adolescents.

Acknowledgments

The authors wish to express their gratitude to Mazandaran University of Medical Sciences and Student Research Committee for financial support (Grant 95-354).

  1. Conflict of interest: None declared.

References

[1] Kaplan PS. (2004). Adolescence. Boston: Houghton Mifflin Company.Suche in Google Scholar

[2] Zare E, Simbar M, Shahhoseini Z. Explaining the concept of self-care in adolescents. J Qual Res Health Sci. 2016;4(4):395–405.Suche in Google Scholar

[3] Ozer EM, Irwin CE. Adolescent and young adult health. Handb Adolesc Psychol. 2009;3:618–41.10.1002/9780470479193.adlpsy001019Suche in Google Scholar

[4] Organization WH. Adolescents: health risks and solutions. Fact Sheet. 2014;345 Available on: http://www.who.int/mediacentre/factsheets/fs345/en/.Suche in Google Scholar

[5] Bruzzese J-M, Bonner S, Vincent EJ, Sheares BJ, Mellins RB, Levison MJ, et al. Asthma education: the adolescent experience. Patient Educ Couns. 2004;55(3):396–406.10.1016/j.pec.2003.04.009Suche in Google Scholar PubMed

[6] Irwin CE, Adams SH, Park MJ, Newacheck PW. Preventive care for adolescents: few get visits and fewer get services. Pediatrics. 2009;123(4):e565–72.10.1542/peds.2008-2601Suche in Google Scholar PubMed

[7] Riegel B, Lee CS, Dickson VV, Carlson B. An update on the self-care of heart failure index. J Cardiovasc Nurs. 2009;24(6):485–97.10.1097/JCN.0b013e3181b4baa0Suche in Google Scholar PubMed PubMed Central

[8] Eftekhar H, Mirkamali SK, Tavafian SS, Mohammad K, Shahnazi H, Sharifirad G. Exploring self care in Tehran, Iran: a population based study. J Res Med Sci. 2012;17(12):1144–9.Suche in Google Scholar PubMed

[9] Granger BB, Sandelowski M, Tahshjain H, Swedberg K, Ekman I. A qualitative descriptive study of the work of adherence to a chronic heart failure regimen: patient and physician perspectives. J Cardiovasc Nurs. 2009;24(4):308–15.10.1097/JCN.0b013e3181a4be30Suche in Google Scholar PubMed

[10] Health Do. Self care: a real choice-self care support: a practical option. London: Department of Health, 2005:1–12.Suche in Google Scholar

[11] Bayliss EA, Steiner JF, Fernald DH, Crane LA, Main DS. Descriptions of barriers to self-care by persons with comorbid chronic diseases. Ann Fam Med. 2003;1(1):15–21.10.1370/afm.4Suche in Google Scholar PubMed PubMed Central

[12] Mirkarimi SK, Aryaie M, Kamran A, Farid H. Knowledge, attitude and practice of women referred to health centers of Gorgan on the determining factors of self-care. Jorjani. 2014;2(2):58.Suche in Google Scholar

[13] Williams MV, Baker DW, Honig EG, Lee TM, Nowlan A. Inadequate literacy is a barrier to asthma knowledge and self-care. Chest J. 1998;114(4):1008–15.10.1378/chest.114.4.1008Suche in Google Scholar PubMed

[14] Gazmararian JA, Ziemer DC, Barnes C. Perception of barriers to self-care management among diabetic patients. Diabetes Educ. 2009;35(5):778–88.10.1177/0145721709338527Suche in Google Scholar PubMed

[15] Helgeson VS, Reynolds KA, Siminerio L, Escobar O, Becker D. Parent and adolescent distribution of responsibility for diabetes self-care: links to health outcomes. J Pediatr Psychol. 2008;33(5):497–508.10.1093/jpepsy/jsm081Suche in Google Scholar PubMed PubMed Central

[16] Dickson VV, McCarthy MM, Howe A, Schipper J, Katz SM. Sociocultural influences on heart failure self-care among an ethnic minority black population. J Cardiovasc Nurs. 2013;28(2):111–8.10.1097/JCN.0b013e31823db328Suche in Google Scholar PubMed

[17] Siabani S, Leeder SR, Davidson PM. Barriers and facilitators to self-care in chronic heart failure: a meta-synthesis of qualitative studies. Springerplus. 2013;2(1):1–14.10.1186/2193-1801-2-320Suche in Google Scholar PubMed PubMed Central

[18] Knight D. Beliefs and self-care practices of adolescents with asthma. Issues Compr Pediatr Nurs. 2005;28(2):71–81.10.1080/01460860590950845Suche in Google Scholar PubMed

[19] De Smet BD, Erickson SR, Kirking DM. Self-reported adherence in patients with asthma. Ann Pharmacother. 2006;40(3):414–20.10.1345/aph.1G475Suche in Google Scholar PubMed

[20] Rhee H, Belyea MJ, Ciurzynski S, Brasch J. Barriers to asthma self‐management in adolescents: relationships to psychosocial factors. Pediatr Pulmonol. 2009;44(2):183–91.10.1002/ppul.20972Suche in Google Scholar PubMed PubMed Central

[21] Buston KM, Wood SF. Non-compliance amongst adolescents with asthma: listening to what they tell us about self-management. Fam Pract. 2000;17(2):134–8.10.1093/fampra/17.2.134Suche in Google Scholar PubMed

[22] Callaghan DM. The influence of spiritual growth on adolescents’ initiative and responsibility for self-care. Pediatr Nurs. 2005;31(2):91.Suche in Google Scholar PubMed

[23] Ellison CG, Levin JS. The religion-health connection: evidence, theory, and future directions. Health Educ Behav. 1998;25(6):700–20.10.1177/109019819802500603Suche in Google Scholar PubMed

[24] Ni H, Nauman D, Burgess D, Wise K, Crispell K, Hershberger RE. Factors influencing knowledge of and adherence to self-care among patients with heart failure. Arch Intern Med. 1999;159(14):1613–9.10.1001/archinte.159.14.1613Suche in Google Scholar PubMed

[25] Abedian K, Shahhosseini Z. Barriers to health education in adolescents: health care providers’ perspectives compared to high school adolescents. Int J Adolesc Med Health. 2015;27(4):433–6.10.1515/ijamh-2014-0061Suche in Google Scholar PubMed

[26] Shahhosseini Z, Abedian K. Health care providers and adolescents’ perspectives towards adolescents’ health education needs: a need assessment based on comparative approach. Int J Adolesc Med Health. 2015;27(1):73–7.10.1515/ijamh-2014-0007Suche in Google Scholar PubMed

[27] Faulkner MS, Chang L-I. Family influence on self-care, quality of life, and metabolic control in school-age children and adolescents with type 1 diabetes. J Pediatr Nurs. 2007;22(1):59–68.10.1016/j.pedn.2006.02.008Suche in Google Scholar PubMed

[28] Chien SC, Larson E, Nakamura N, Lin SJ. Self-care problems of adolescents with type 1 diabetes in southern Taiwan. J Pediatr Nurs. 2007;22(5):404–9.10.1016/j.pedn.2006.05.011Suche in Google Scholar PubMed

[29] George M, Freedman TG, Norfleet AL, Feldman HI, Apter AJ. Qualitative research-enhanced understanding of patients’ beliefs: results of focus groups with low-income, urban, African American adults with asthma. J Allergy Clin Immunol. 2003;111(5):967–73.10.1067/mai.2003.1459Suche in Google Scholar PubMed

[30] Geenen SJ, Powers LE, Sells W. Understanding the role of health care providers during the transition of adolescents with disabilities and special health care needs. J Adolesc Health. 2003;32(3):225–33.10.1016/S1054-139X(02)00396-8Suche in Google Scholar PubMed

[31] Ensign J, Panke A. Barriers and bridges to care: voices of homeless female adolescent youth in Seattle, Washington, USA. J Adv Nurs. 2002;37(2):166–72.10.1046/j.1365-2648.2002.02067.xSuche in Google Scholar PubMed

[32] Helgeson VS, Reynolds KA, Escobar O, Siminerio L, Becker D. The role of friendship in the lives of male and female adolescents: does diabetes make a difference?. J Adolesc Health. 2007;40(1):36–43.10.1016/j.jadohealth.2006.07.007Suche in Google Scholar PubMed

[33] Borus JS, Laffel L. Adherence challenges in the management of type 1 diabetes in adolescents: prevention and intervention. Curr Opin Pediatr. 2010;22(4):405–11.10.1097/MOP.0b013e32833a46a7Suche in Google Scholar PubMed PubMed Central

[34] Davidson M, Penney ED, Muller B, Grey M. Stressors and self-care challenges faced by adolescents living with type 1 diabetes. Appl Nurs Res. 2004;17(2):72–80.10.1016/j.apnr.2004.02.006Suche in Google Scholar PubMed

[35] Sorensen EA, Wang F. Social support, depression, functional status, and gender differences in older adults undergoing first-time coronary artery bypass graft surgery. Heart Lung. 2009;38(4):306–17.10.1016/j.hrtlng.2008.10.009Suche in Google Scholar PubMed

[36] Khaledi GH, Mostafavi F, Eslami AA, Afza HR, Mostafavi F, Akbar H. Evaluation of the effect of perceived social support on promoting self-care behaviors of heart failure patients referred to the Cardiovascular Research Center of Isfahan. Iran Red Crescent Med J. 2015;17(6):1–7.10.5812/ircmj.22525v2Suche in Google Scholar PubMed PubMed Central

[37] Friedmann E, Son H, Thomas SA, Chapa DW, Lee HJ. Poor social support is associated with increases in depression but not anxiety over 2 years in heart failure outpatients. J Cardiovasc Nurs. 2014;29(1):1–18.10.1097/JCN.0b013e318276fa07Suche in Google Scholar PubMed PubMed Central

[38] Riegel B, Dickson VV, Kuhn L, Page K, Worrall-Carter L. Gender-specific barriers and facilitators to heart failure self-care: a mixed methods study. Int J Nurs Stud. 2010;47(7):888–95.10.1016/j.ijnurstu.2009.12.011Suche in Google Scholar PubMed

[39] Aalsma MC, Gilbert AL, Xiao S, Rickert VI. Parent and adolescent views on barriers to adolescent preventive health care utilization. J Pediatr. 2016;169:140–5.10.1016/j.jpeds.2015.10.090Suche in Google Scholar PubMed

[40] Baker LK, Denyes MJ. Predictors of self-care in adolescents with cystic fibrosis: a test of Orem’s theories of self-care and self-care deficit. J Pediatr Nurs. 2008;23(1):37–48.10.1016/j.pedn.2007.07.008Suche in Google Scholar PubMed

[41] Newacheck PW, Brindis CD, Cart CU, Marchi K, Irwin CE. Adolescent health insurance coverage: recent changes and access to care. Pediatrics. 1999;104(2):195–202.10.1542/peds.104.2.195Suche in Google Scholar PubMed

[42] Rew L. Health risks of homeless adolescents implications for holistic nursing. J Holist Nurs. 1996;14(4):348–59.10.1177/089801019601400407Suche in Google Scholar PubMed

[43] Di Battista AM, Hart TA, Greco L, Gloizer J. Type 1 diabetes among adolescents reduced diabetes self-care caused by social fear and fear of hypoglycemia. Diabetes Educ. 2009;35(3):465–75.10.1177/0145721709333492Suche in Google Scholar PubMed

[44] Naar-King S, Idalski A, Ellis D, Frey M, Templin T, Cunningham PB, et al. Gender differences in adherence and metabolic control in urban youth with poorly controlled type 1 diabetes: the mediating role of mental health symptoms. J Pediatr Psychol. 2006;31(8):793–802.10.1093/jpepsy/jsj090Suche in Google Scholar PubMed

[45] Cull VV. Exposure to violence and self-care practices of adolescents. Fam Community Health. 1996;19(1):31–41.10.1097/00003727-199604000-00006Suche in Google Scholar

[46] Dashiff CJ, McCaleb A, Cull V. Self-care of young adolescents with type 1 diabetes. J Pediatr Nurs. 2006;21(3):222–32.10.1016/j.pedn.2005.07.013Suche in Google Scholar PubMed

[47] La Greca AM, Swales T, Klemp S, Madigan S, Skyler J. Adolescents with diabetes: gender differences in psychosocial functioning and glycemic control. Child Health Care. 1995;24(1):61–78.10.1207/s15326888chc2401_6Suche in Google Scholar

[48] Bryden KS, Peveler RC, Stein A, Neil A, Mayou RA, Dunger DB. Clinical and psychological course of diabetes from adolescence to young adulthood a longitudinal cohort study. Diabetes Care. 2001;24(9):1536–40.10.2337/diacare.24.9.1536Suche in Google Scholar PubMed

[49] Birmaher B, Ryan ND, Williamson DE, Brent DA, Kaufman J, Dahl RE, et al. Childhood and adolescent depression: a review of the past 10 years. Part I. J Am Acad Child Adolesc Psychiatry. 1996;35(11):1427–39.10.1097/00004583-199611000-00011Suche in Google Scholar PubMed

[50] Deković M, Buist KL, Reitz E. Stability and changes in problem behavior during adolescence: latent growth analysis. J Youth Adolesc. 2004;33:1–12.10.1023/A:1027305312204Suche in Google Scholar

[51] McCaleb A, Edgil A. Self-concept and self-care practices of healthy adolescents. J Pediatr Nurs. 1994;9(4):233–8.Suche in Google Scholar PubMed

[52] Callaghan D. Basic conditioning factors’ influences on adolescents’ healthy behaviors, self-efficacy, and self-care. Issues Compr Pediatr Nurs. 2006;29(4):191–204.10.1080/01460860601087156Suche in Google Scholar PubMed PubMed Central

Received: 2016-11-26
Accepted: 2017-02-21
Published Online: 2017-05-24

©2019 Walter de Gruyter GmbH, Berlin/Boston

Heruntergeladen am 29.11.2025 von https://www.degruyterbrill.com/document/doi/10.1515/ijamh-2016-0152/html?lang=de
Button zum nach oben scrollen