Psychological Aspects in the System of Self-Management Education for Children with Diabetes Mellitus (Literature Review and Own Data)

O.V. Bolshova, O.V. Antropova, I.V. Lukashuk, V.A. Muz, N.N. Muz

Abstract


This paper analyzes the scientific data concerning self-managing education and psychological support as part of treatment and prevention of complications in children and adolescents with diabetes. There is a direct correlation between the compensation of diabetes, level of education of patients about their illness, psychological condition analysis and adequate self-control. We assessed the effectiveness of self-management training in combination with psychological help in children and adolescents with diabetes type 1. The study found that in the main group (87 patients) HbA1c rate after 3 and 6 months decreased to 9.12 ± 0.86 % and 8.75 ± 1.10 % compared to 9.51 ± 0.85 % before diabetes self-managing education. We noted positive dynamics of glycemic control, respectively, in 19.5 and 36.8 % of patients (compared with 10.3 % at the beginning of training). In I group (37 children and adolescents who had psychological help) HbA1c rate after 3 and 6 months decreased to 8.84 and 8.21 %, respectively (9.23 % before diabetes self-managing education).


Keywords


type 1 diabetes mellitus; children and adolescents; office of self-managing education for patients with diabetes; psychological aspects

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DOI: https://doi.org/10.22141/2224-0721.4.52.2013.84387

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