Diyabet Bakımında Ebeveyn İzleminin Adölesanlarda Tedaviye Uyum Ve Metabolik Parametrelere Etkisi

Yıl 2021, Cilt: 8 Sayı: 1, 56 - 65, 31.12.2020

Hakan Avan

https://doi.org/10.34087/cbusbed.765495

Öz

Giriş ve Amaç: Çalışma, diyabet bakımında ebeveyn izlemenin ergenlerde tedaviye ve metabolik parametrelere uyum üzerindeki etkisini belirlemek amacıyla yapıldı.
Gereç ve Yöntem: Çalışma Gaziantep Çocuk Hastanesi Endokrinoloji Polikliniğinde takip edilen 132 Tip 1 diyabetli ergenin yanı sıra ebeveynleri ile yürütüldü. Veriler Ekim 2016 and Mayıs 2017 tarihleri arasında toplandı. Verilerin toplanmasında“ “Kişisel Özellikler İçin Bilgi Formu” ve “Ebeveyn İzleme Ölçeği” kullanıldı. Verilerin istatistiksel analizi için SPSS 21.0 paket yazılımı kullanıldı. Araştırmanın yürütülmesi için etik kurul ve kurum izni alınmıştır.
Bulgular: Çalışmaya katılan ergenlerin %65,9'unun erkek, %81,1'inin HbA1c düzeyi ≥7,5, %43,4'ünün açlık glikoz düzeyi ≥ 180 ve Ebeveyn İzleme Ölçeği puan ortalamalarının 108,20± 19.55 olduğu tespit edildi. Kadınların HbA1c değerlerinin erkeklerin HbA1c değerlerinden düşük olduğu belirlenmiştir (p <0.01). Annenin eğitim durumu HbA1c değerleri üzerinde anlamlı bir etkiye sahipti (p <0.01).
Sonuç: Ebeveyn bakımının adölesanlarda metabolik parametreler üzerinde önemli etkisinin olduğu sonucuna varılmıştır.

Anahtar Kelimeler

Type 1 Diabetes,, Adolescent,, Metabolic Parameters,, Parental monitoring

The Effect of Parental Monitoring in Diabetes Care on Compliance to Treatment and Metabolic Parameters in Adolescents

Öz

Purpose: The study was conducted to determine the effect of parental monitoring in diabetes care on compliance to treatment and metabolic parameters in adolescents. Material and Method: The study consisted of adolescents with Type 1 diabetes followed up in Endocrinology Outpatient Clinic of Gaziantep Children's Hospital. 132 diabetic adolescents who met the study inclusion criteria and were followed up in Endocrinology Outpatient Clinic as well as their parents were included in the study. In order to collect the data, “Information Form for Personal Characteristics” and “Parental Monitoring Scale in Diabetes Care of Adolescents with Type 1 diabetes” were used. SPSS 21.0 packaged software was used for statistical analysis of the data. Results: It was found that 65.9% of the adolescents participating in the study were male, 81.1% had poor HbA1c levels of ≥7.5, 43.4% had poor fasting glucose levels of ≥ 180 and above and their mean scores of Parental Monitoring Scale were 108.20±19.55. It was determined that HbA1c values of the women were lower than HbA1c values of the men (p<0.01). Birth place of adolescents and parents’ educational levels had a significant effect on scale mean scores(p<0.01). Mother’s education status had a significant effect on HbA1c values (p<0.01). Conclusion: It was concluded that the HbA1c values and mean AG level were high, there was a significant correlation between age and PMDC mean scores, between gender and HbA1c values and AG level and the birth places of adolescents had a significant effect on PMDC mean scores of the parents and HbA1c values.

Kaynakça

• 1. Gümüş E, Çelik H, Özkan S. Diabetes Program of Turkey 2015-2020. Ankara; 2014.
• 2. Johnson SB, Baughcum AE, Carmıchael SK, Shr J-X, Desmond A. SCHATZ. Maternal Anxiety Associated With Newborn Genetic Screening for Type 1 Diabetes. Diabetes Care. 2004;27(2).
• 3. International Diabetes Federation. International Diabetes Atlas. International Diabetes Federation. 2015.
• 4. Aschner P, Horton E, Leiter LA, Munro N, Skyler JS. Practical steps to improving the management of type 1 diabetes: Recommendations from the Global Partnership for Effective Diabetes Management. Int J Clin Pract. 2010;64(3):305–15.
• 5. Daneman D. Type 1 Diabetes. Lancet. 2006;367:847–58.
• 6. Boztepe H. A Risky Period for Type 1 Diabetes Management: Adolescence (Review). Nursing Journal of Faculty of Health Sciences [Internet]. 2012;82–9. Available from: http://dergipark.gov.tr/download/article-file/88616
• 7. Menteş E, Menteş B. Obesity and exercise during adolescence period. International journal of Human Sciences. 2011;8(2):963–97.
• 8. Bahíllo MP, Hermoso F, Ochoa C, García-fernández JA, Rodrigo J, Marugán JM, et al. Incidence and prevalence of type 1 diabetes in children aged <15 yr in Castilla-Leon (Spain). Pediatr Diabetes. 2007;8(6):369–73.
• 9. Skyler JS. Update on worldwide efforts to prevent type 1 diabetes. Ann N Y Acad Sci. 2008;1150:190–6.
• 10. Buckingham B, Greenbaum CJ, Krischer J, Chase P. Metabolic tests to determine risk for type 1 diabetes in clinical trials. Diabetes Metab Res Rev. 2011;27(1):584–9.
• 11. Streisand R, Swift E, Wickmark T, Chen R, Holmes CS. Pediatric Parenting Stress Among Parents of Children with Type 1 Diabetes: The Role of Self-Efficacy, Responsibility, and Fear. J Pediatr Psychol. 2005;30(6):513–21.
• 12. Laffel LMB, Connell A, Vangsness L, Goebel-Fabbri A, Mansfield A, Anderson BJ. General Quality of Life in Youth With Type 1 Diabetes: Relationship to patient management and diabetes-specific family conflict. Diabetes Care. 2003;26(11):3067–73.
• 13. Chien SC, Larson E, Nakamura N, Lin SJ. Self-Care Problems of Adolescents With Type 1 Diabetes in Southern Taiwan. J Pediatr Nurs. 2007;22(5):404–9.
• 14. Virtanen SM, Knip M. Nutritional risk predictors of β cell autoimmunity and type 1 diabetes at a young age. Am J Clin Nutr. 2003;78(6):1053–67.
• 15. Anderson BJ, Vangsness L, Connell A, Butler D, Goebel-Fabbri A, Laffel LMB. Family conflict, adherence, and glycaemic control in youth with short duration Type 1 diabetes. Diabet Med. 2002;19(8):635–42.
• 16. Ellis DA, Podolski CL, Frey M, Naar-King S, Wang B, Moltz K. The role of parental monitoring in adolescent health outcomes: Impact on regimen adherence in youth with type 1 diabetes. J Pediatr Psychol. 2007;32(8):907–17.
• 17. Türk Ç, Karataş H, Bektaş M. Validity and Reliability Study of Parental Monitoring Scale in Diabetes Care of Adolescents with Type 1 Diabetes. J Pediatr Res. 2016;3(1):35–40.
• 18. Zhang X, Gregg EW, Williamson DF, Barker LE, Thomas W, Bullard KMK, et al. A1C level and future risk of diabetes: A systematic review. Diabetes Care. 2010;33(7):1665–73.
• 19. Fırat E. Examining Factors Affecting the Quality of Life of 13-16 Year-old Children with Type 1. Hacettepe University; 2014.
• 20. Doğan Z. Diabetes Managements of 7-12 Year-old Children with Type 1 Diabetes, Followed up in the University Hospitals, in School Environments. Istanbul University; 2009.
• 21. Sevda Yüksel. Evaluating Sleep Quality, Anxiety, Depression and Quality of Life in Patients with Type 1 ve Type Di̇abetes. Afyon Kocatepe University; 2007.
• 22. Ellis D, Frey M, Naar-King S, Templin T, Cunningham P, Cakan N. Use of Multisystemic Therapy to Improve With Type 1 Diabetes in Chronic Poor. Diabetes Care [Internet]. 2005;28(7):1064–610. Available from: http://care.diabetesjournals.org/content/28/7/1604.full.pdf+html?sid=592c64ca-df1a-4a67-ab78-056e2c09d8d5
• 23. Temel E, Bahar A, Çuhadar D. Determining Stress Coping Styles and Depression Levels of Nursing Students. Journal of Fırat Health Services. 2007;2(5):107–18.
• 24. Bozkurt D. Retrospective Evaluation Of Patients Applying To Pediatric Emergency And Endocrine Outpatient Clinic Due To Diabetic Ketoacidosis. Dicle University; 2013.
• 25. Ellis DA. The Effects of Multisystemic Therapy on Diabetes Stress Among Adolescents With Chronically Poorly Controlled Type 1 Diabetes: Findings From a Randomized, Controlled Trial. Pediatrics [Internet]. 2005;116(6):e826–32. Available from: http://pediatrics.aappublications.org/cgi/doi/10.1542/peds.2005-0638
• 26. Karvonen M, Viik-Kajander M, Libman I, LaPorte R, Tuomilehto J, Moltchanova E, et al. Incidence of Childhood Type 1 Diabetes. Diabetes Care [Internet]. 2000;23(10):1516–26. Available from: http://search.ebscohost.com/login.aspx?direct=true&db=c8h&AN=107152900&amp%5Cnlang=ja&site=ehost-live
• 27. Çitil R, Günay O, Elmali F, Öztürk Y. The effects of medical and social factors on the quality of life of diabetic patients. Erciyes Tip Derg. 2010;32(4).
• 28. Bayar B. Bio-Psycho-Socio-Cultural and Economic Factors Influencing HbA1c Value of Children with Type 1 Diabetes Mellitus. Düzce University; 2014.
• 29. Çakir S, Saǧlam H, Özgür T, Eren E, Tarim Ö. Factors Affecting glycemic control of Children Type 1 Diabetes. Current Pediatr. 2010;8(1):7–19.