H. Kyngas et M. Hentinen, MEANING ATTACHED TO COMPLIANCE WITH SELF-CARE, AND CONDITIONS FOR COMPLIANCE AMONG YOUNG DIABETICS, Journal of advanced nursing, 21(4), 1995, pp. 729-736
This paper presents a hypothetical model of the compliance with self-c
are of young diabetics, its features, its meaning to them and the prec
onditions for compliance with self-care. The aim of this research was
to develop a model to clarify and expand existing knowledge concerning
compliance with self-care among young diabetics and to produce new id
eas for planning and implementing this care, Four categories of behavi
oural pattern were identified. Those young people with good compliance
experienced a sense of well-being, health, and freedom, They were res
ponsible, active, and well motivated in voluntarily implementing self-
care. The second group were those whose actions deviated only slightly
from health regimens but who had undergone many negative experiences
with self-care, Their actions were guided only by compulsion, The thir
d group were consciously non-compliant, Their constant neglect of heal
th regimens was associated with feelings of poor health, fears and ind
ifference. They were not motivated to comply, felt that the aims set,
were too high and the self-care programme too tightly regimented. They
felt that they received no encouragement, The young people belonging
to the fourth group frankly refused to pursue self-care, Their non-com
pliance was seen by them as an issue of freedom. In effect, their frie
nds controlled their lives, and they felt that their self-care was all
the more unnecessary since nobody encouraged them to keep to it.