Včasná intervencia pri ochorení diabetes mellitus 1. typu z hľadiska úrovne metabolickej kompenzácie a využívania inštrumentálnej sociálnej opory
Sociálno-psychologické dôsledky včasnej intervencie u detí s diabetes mellitus 1. typu
Authors:
P. Dobríková 1; S. Predáčová 2; M. Slaná 1; J. Slaný 1,3
Authors‘ workplace:
Fakulta zdravotníctva a sociálnej práce, Trnavská univerzita, Trnava
1; Dom Rafael, Bratislava
2; Detská klinika, Fakultná nemocnica, Trnava
3
Published in:
Čes-slov Pediat 2018; 73 (1): 32-39.
Category:
Original Papers
Overview
The aim of this work is to explore coping with the type 1 diabetes mellitus in adolescents. Research focused on relations and differences between variables (metabolic control, use of instrumental social support, behavioral disengagement), with the age at the time of diagnosis taken into consideration.
Sample and setting:
54 adolescents between 11 and 21 years of age (mean 16.48, SD=2.93) participated in research, 66.7% are women. Electronic data collection run from December 2014 to March 2015. Last values of glycosated hemoglobin (HbA1c) indicated achieved metabolic control, coping strategies were studied by Brief-Cope. Items questionning socio-demographic characteristics, health condition and responsibility of health care were included.
Hypothesis:
We assume differences in metabolic control between the group of adolescents with T1D diagnosed at the age 0 to 7 years and diagnosed later, differences in social support and behavioral disengagement were expected as well as correlations between metabolic control, social support and the age at the time of diagnosis, and at the time of participation.
Statistical analysis:
Normality was tested using Kolmogorov-Smirnov test, Mann-Whitney U test for two independent samples and Spearman corelation analysis were applied.
Results:
Differences in metabolic compensation in groups of T1D adolescents according to the age at time of diagnosis were found in using social support, unlike the differences in using behavioral disengagement. Correlations between metabolic control and the age at the time of diagnosis, between metabolic compensation and the illness duration, instrumental social support and the age at the time of diagnosis as well as at the actual age at the time of research were found. Significant differences (U=236.000; sig=0.024) were confirmed in using social support in groups of T1D adolescents differing in age at the time of diagnosis. Lower age at the time of diagnosis, as well as lower age at the time of research, is connected to higher level of using social support and vice versa. Correlation between the illness duration and using of social support was not found. People with diabetes diagnosed at lower age and the ones with longer duration of illness, show worse results of metabolic control than those diagnosed later or having T1D for shorter, because of negative correlation of metabolic compensation and the age at the time of diagnosis (r=-0.55; p=0.000) co-occuring with positive correlation with the illness duration (r=0.67; p=0.000).
Limitations:
Chosen research design does not allow close examination of causal relationships between variables, so it is necessary to verify our hypothesis in a large combined quantitative and qualitative study.
Key words:
type 1 diabetes mellitus, adolescents, social support, metabolic control
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Labels
Neonatology Paediatrics General practitioner for children and adolescentsArticle was published in
Czech-Slovak Pediatrics
2018 Issue 1
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