Master's Theses

Date of Award

Fall 2002

Degree Name

Master of Science in Nursing (MSN)

Department

Nursing

Advisor

Dr. Karyolyn Kells

Abstract

A descriptive, exploratory investigation examined relationships among anger and other variables in teenagers with Type I insulin dependent diabetes mellitus (IDDM). A convenience sample of teenagers with IDDM (N = 25), ages 12-19 was selected from a summer diabetic camp. Data were collected with the following instruments: Trible Demographic Questionnaire and The Aggression Questionnaire (TAQ) (Buss & Perry. 1992). The Statistical Package for the Social Sciences (SPSS), Statistical Analysis System (SAS), and hand tabulation were used to analyze the significant amount, differences in means, and association between the variables. The presence of anger (M = 14.60, SD = 4.59) was validated by the TAQ Anger Subscale, in this sample (N = 25) of diabetic teenage subjects. Males (M = 14.80, SD = 5.12) and females (M 14.47, SD = 4.39) scored similarly. Males scored slightly higher than females; however, there was no significant difference, t(23) = 2.069, p = 0.863, two-tailed, in the amount of anger between males and females. It was determined that no statistically significant difference, H(5) = 7.574, P = 0.181, in anger existed among different ages of IDDM teenage subjects. Sample numbers were smaller and this might have affected results. Participants were grouped in two-year increments, resulting in larger cell numbers, to correlate anger with glycosylated hemoglobin (G-HB, same as HgAlC). No statistically significant relationship was documented. However, mean increases in HgAlC levels were identified in the age groupings, from younger to older. This reaffirmed an increasing HgAlC (G-HG) with age as did Grey, Cameron, and Thurber (1991); Grey, Cameron, Lipman, and Thurber (1994); and Grey, Lipman, Cameron, and Thurber (1997). Additional post hoc consideration was given to the correlation between HgAIC levels and subject reported average daily blood glucoses (r[s] = 0.223. (J = 0.332); however, results were non-significant. There was no significance between age at diagnosis of IDDM compared to anger levels. H(9) = 11.802, p = 0.225, and the number of years living with IDDM compared to anger levels. H(12) = 11.480, p = 0.488. Nurses can benefit from this current investigation with recognition of the presence of psychosocial parameters, such as anger in the teenager with IDDM. They can assist the diabetic teenager to cognitively cope with the conflicts between growth and development issues and diabetic compliance. It is suggested that a replication of this investigation be undertaken with greater sample numbers.

Rights

Copyright 2002 Karen Trible

Comments

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