Objective To investigate the glycemic control and quality of life in children and adolescents with type 1 diabetes of Qingdao and provide the dates for the treatment of children diabets influencing factors. Method sA total of 89 children and adolescents with type 1 diabetes who participated in Diabetes Summer 2015 Camp and Winter 2015 Camp held in Qingdao were recruited in the study.Pediatric Quality of Life Inventory Measurement Models (PedsQL40) was used to assess the quality of life and SPSS 17.0 was used for statistical analysis. Results The mean level of HbA1C of children and adolescents with type 1 diabetes was poor.Age,disease course,whether follow to the diabetes diet,the frequency of blood glucose testing and diabetes camp,place of residence,mothers' education level,family income were the influencing factors of HAb1C (P<0.05).The mean score of quality of life was 80.73±12.68.The level of blood glucose,place of residence,parents' current marital status,parenthood were influencing factors of quality of life of children and adolescents type 1 diabetes(P<0.05),in which the level of blood glucose was most important. Conclusions Children and adolescents with type 1 diabetes get a low quality of life by the growth of age and course of disease.The effects of their blood glucose control are unstable because they did not comply with the treatment and management of diabetes,especially settling in the countryside,low level of parents education,poor parenthood.In order to improve the quality of life,the integrated therapy should be performed on treating child and adolescents with type 1 diabetes.
Key words
type 1 diabetes /
quality of life /
children /
adolescents /
Qingdao
{{custom_sec.title}}
{{custom_sec.title}}
{{custom_sec.content}}
References
[1] 李荣,熊丰.1型糖尿病儿童青少年生存质量调查及分析[J].浙江大学学报,2013,42(4):388-395.
[2] Cizza G,Brown RJ,Rother KI.Rising incidence and challenges of childhood diabetes.Amini review[J].J Endocrinol Invest,2012,35(5):541-546.
[3] Kalyva E,Malakonaki E,Eiser C,et al.Health-related quality of life (HRQoL) of children with type 1 diabetes mellitus (T1DM):self and parental perceptions[J].Pediatr Diabetes,2011,12(1):34-40.
[4] Kakleas K,Kandyla B,Karayianni C,et al.Psychosocial problems in adolescents with type 1 diabetes mellitus[J].Diabetes Metab,2009,35(5):339-350.
[5] 中华医学会儿科学分会内分泌遗传代谢学组.儿童及青少年糖尿病的胰岛素治疗指南(2010年版)[J].中华儿科杂志,2010,48(6):431-435.
[6] 钱荣立.关于糖尿病的新诊断标准与分型[J].中国糖尿病杂志,2000,8(1):5-6.
[7] Mde W,Delemarrevan W,Pouwer F,et al.Monitoring health related quality of life in adolescents with diabetes:a review of measures[J].Arch Dis Child,2007,92:434-439.
[8] 李荣,熊丰.国际糖尿病儿童生存治疗研究进展.现代医药卫生,2013,29(8):1202-1204.
[9] Hilliard ME,Mann KA,Peugh JL,et al.How poorer quality of life in adolescence predicts subsequent type 1 diabetes management and control[J].Patient Educ Couns,2012,22(12):421.
[10] Nardi L,Zucchini S.Quality of life,psychological adjustment and metabolic control in youths with type 1diabetes:a study with self-and parent-report questionnaires[J].Pediatric Diabetes,2008,9(5):496-503.
[11] Felicio JS,de souza AC,Koury CC,et al.Health-related quality of life in parents with type 1 diabetes mellitus in the different Geographical Regions of Brazil:Date from the Syndr[J].Diabetology &Metabolic Syndrome,2015,7(1):87.
[12] 任宏,欧阳凤秀,罗飞宏,等.儿童1型糖尿病环境危险因素病例对照研究[J].中国公共卫生,2005,21(2):129-130.