<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0874-0283</journal-id>
<journal-title><![CDATA[Revista de Enfermagem Referência]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. Enf. Ref.]]></abbrev-journal-title>
<issn>0874-0283</issn>
<publisher>
<publisher-name><![CDATA[Escola Superior de Enfermagem de Coimbra - Unidade de Investigação em Ciências da Saúde - Enfermagem]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0874-02832021000400002</article-id>
<article-id pub-id-type="doi">10.12707/rv20213</article-id>
<title-group>
<article-title xml:lang="pt"><![CDATA[Adolescentes com diabetes mellitus tipo 1 e o seu processo de construção da autonomia para o autocuidado]]></article-title>
<article-title xml:lang="en"><![CDATA[Adolescents with type 1 diabetes mellitus and their process of developing autonomy for self-care]]></article-title>
<article-title xml:lang="es"><![CDATA[Adolescentes con diabetes mellitus tipo 1 y el proceso de construcción de la autonomía para el autocuidado]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Batista]]></surname>
<given-names><![CDATA[Annanda Fernandes Moura Bezerra]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Silva]]></surname>
<given-names><![CDATA[Maria Elizabete de Amorim]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Nóbrega]]></surname>
<given-names><![CDATA[Vanessa Medeiros]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Fernandes]]></surname>
<given-names><![CDATA[Leiliane Teixeira Bento]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Collet]]></surname>
<given-names><![CDATA[Neusa]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,University of Illinois Chicago College of Nursing, Chicago ]]></institution>
<addr-line><![CDATA[ Illinois]]></addr-line>
<country>USA</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidade Federal da Paraíba  ]]></institution>
<addr-line><![CDATA[João Pessoa Paraíba]]></addr-line>
<country>Brazil</country>
</aff>
<pub-date pub-type="pub">
<day>30</day>
<month>12</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>30</day>
<month>12</month>
<year>2021</year>
</pub-date>
<volume>serV</volume>
<numero>8</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_arttext&amp;pid=S0874-02832021000400002&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_abstract&amp;pid=S0874-02832021000400002&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_pdf&amp;pid=S0874-02832021000400002&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo  Enquadramento:  A diabetes mellitus tipo 1 requer autonomia do adolescente para a realização do autocuidado.  Objetivo:  Analisar o processo de construção da autonomia para o autocuidado de adolescentes com diabetes mellitus tipo 1.  Metodologia:  Pesquisa descritiva-exploratória com nove adolescentes com diabetes tipo 1, através de entrevistas semiestruturadas e dados interpretados pela análise temática indutiva.  Resultados:  O processo de construção da autonomia do adolescente com diabetes inicia com o interesse em procurar conhecimento sobre a doença e tratamento, aprimorado pelo apoio da rede social, potencializando a confiança em si para assumir o seu autocuidado. Dificuldades em controlar a dieta, ter acesso aos materiais para insulinoterapia e falta de segurança para manuseá-los constituem obstáculos para essa construção.  Conclusão:  É fundamental apoiar esses adolescentes na construção da autonomia para o autocuidado a fim de superar as dificuldades na gestão da diabetes e prevenir complicações que podem comprometer a sua qualidade de vida e gerar custo ao sistema de saúde.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Background:  Type 1 diabetes mellitus requires adolescents&#8217; autonomy to perform self-care.  Objective:  To analyze the process of developing autonomy for self-care in adolescents with type 1 diabetes mellitus.  Methodology:  Descriptive-exploratory research with nine adolescents with type 1 diabetes mellitus. Data were collected through semi-structured interviews and interpreted using inductive thematic analysis.  Results:  The process of developing autonomy in adolescents with diabetes begins with an interest in seeking knowledge about the disease and treatment, with the support of the social network, to gain the confidence in themselves to perform self-care. Obstacles to this process include difficulties in controlling diet, poor access to insulin therapy materials, and lack of safety in handling them.  Conclusion:  It is essential to help these adolescents develop autonomy for self-care so that they can overcome difficulties in managing diabetes and prevent complications that can compromise their quality of life and put a burden on the health system.]]></p></abstract>
<abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Marco contextual:  La diabetes mellitus tipo 1 requiere la autonomía del adolescente para el autocuidado.  Objetivo:  Analizar el proceso de construcción de la autonomía para el autocuidado de adolescentes con diabetes mellitus tipo 1.  Metodología:  Investigación descriptiva-exploratoria con nueve adolescentes con diabetes tipo 1, mediante entrevistas semiestructuradas y datos interpretados por análisis temático inductivo.  Resultados:  El proceso de construcción de la autonomía del adolescente con diabetes comienza con el interés por buscar conocimientos sobre la enfermedad y el tratamiento, potenciado por el apoyo de la red social, lo que aumenta la confianza en sí mismo para asumir el autocuidado. Las dificultades para controlar la dieta, el acceso a los materiales de insulinoterapia y la falta de seguridad para manejarlos son obstáculos para esta construcción.  Conclusión:  Es esencial apoyar a estos adolescentes en la construcción de la autonomía para el autocuidado con el fin de superar las dificultades para gestionar la diabetes y prevenir las complicaciones que pueden comprometer su calidad de vida y generar gastos al sistema de salud.]]></p></abstract>
<kwd-group>
<kwd lng="pt"><![CDATA[diabetes mellitus]]></kwd>
<kwd lng="pt"><![CDATA[adolescente]]></kwd>
<kwd lng="pt"><![CDATA[autocuidado]]></kwd>
<kwd lng="pt"><![CDATA[autonomia pessoal]]></kwd>
<kwd lng="en"><![CDATA[diabetes mellitus]]></kwd>
<kwd lng="en"><![CDATA[adolescent]]></kwd>
<kwd lng="en"><![CDATA[self-care]]></kwd>
<kwd lng="en"><![CDATA[personal autonomy]]></kwd>
<kwd lng="es"><![CDATA[diabetes mellitus]]></kwd>
<kwd lng="es"><![CDATA[adolescente]]></kwd>
<kwd lng="es"><![CDATA[autocuidado]]></kwd>
<kwd lng="es"><![CDATA[autonomía personal]]></kwd>
</kwd-group>
</article-meta>
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