INKOLA based on Orem’s Self-Care Model and its effectiveness on the quality of life and HbA1C in children with type 1 diabetes mellitus
Year: 2021
Type: article
Study design: Clinical Trial
Abstract: Background.The quality of life for children with diabetes type 1 is determined by the ability of parents to care for their children independently.The INKOLA model was developed from the Dorothea Orem self-care deficit model, which emphasized educational support for patients' self-care and independence.Objectives.This study aims to determine the effectiveness of the INKOLA model on the QoL and HbA 1C of T1DM children. Material and methods.Our quasi-experimental study with a control group was carried out on 42 T1DM children and their parents.The model of intervention was implemented for four months.QoL was measured twice in the third and fourth months.HbA 1C was measured in the fourth month. Results.There was an improvement in QoL scores in the children after three months of the intervention, but the scores were not significantly different (78.67 ± 11.31 vs 73.01 ± 14.85, p = 0.173).After four months, there was an increase in the QoL score which was significantly different (80.93 ± 10.19 vs 70.80 ± 12.21, p < 0.001).The parents' version of QoL scores after three and four months of intervention showed an improvement, but were not significantly different (three months, 78.42 ± 9.22 vs 78.27 ± 9.64, p = 0.961; four months, 79.62 ± 9.01 vs 78.63 ± 9.52, p = 0.734).The decrease of HbA 1C in the intervention group was significant (8.80 ± 1.76 vs 10.59 ± 2.72, p = 0.014). Conclusions.INKOLA based on the Orem Self-Care Model is effective in improving the QoL and in controlling HbA 1C for T1DM.
Authors: Hotma Rumahorbo, Atin Karjatin, Ali Hamzah
Language: English
Subfield: Endocrinology, Diabetes and Metabolism
Field: Medicine
Domain: Health Sciences
Open Access status: gold
Estimated APC paid: $184
OpenAlex ID: W3202513645