Психологічні аспекти в системі навчання  самоконтролю дітей, хворих на цукровий діабет (Огляд літератури та власні дані)

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

doi:10.22141/2224-0721.4.52.2013.84387

Authors

O.V. Bolshova State Institution «Institute of Endocrinology and Metabolism named after V.P. Komissarenko of National Academy of Medical Sciences of Ukraine», Kyiv, Ukraine
O.V. Antropova State Institution «Institute of Endocrinology and Metabolism named after V.P. Komissarenko of National Academy of Medical Sciences of Ukraine», Kyiv, Ukraine
I.V. Lukashuk State Institution «Institute of Endocrinology and Metabolism named after V.P. Komissarenko of National Academy of Medical Sciences of Ukraine», Kyiv, Ukraine
V.A. Muz State Institution «Institute of Endocrinology and Metabolism named after V.P. Komissarenko of National Academy of Medical Sciences of Ukraine», Kyiv, Ukraine
N.N. Muz State Institution «Institute of Endocrinology and Metabolism named after V.P. Komissarenko of National Academy of Medical Sciences of Ukraine», Kyiv, Ukraine

DOI:

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

Keywords:

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

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).

Downloads

Download data is not yet available.

References

Soltesz G., Patterson C.C., Dahlquist G. EURODIAB Study Group Worldwide childhood type 1 diabetes incidence — what can we learn from epidemiology? // Pediatr. Diabetes. — 2007. — Vol. 8, Suppl. 6. — P. 6-14.

American Diabetes Association. Diagnosis and Classification of Diabetes Mellitus // Diabetes Care. — 2008. — Vol. 31, № 1, Suppl. 1. — S55-S60.

Статистика цукрового діабету у дітей України в таблицях і графіках / За ред. Н.Б. Зелінської. — К.: РВХ «Ферзь», 2013. — 16 с.

Kim H., Elmi A., Henderson C.L. et al. Characteristics of children with type 1 diabetes and persistent suboptimal glycemic control // J. Clin. Res. Pediatr. Endocrinol. — 2012. — Vol. 4, № 2. — P. 82-88.

Hanas R., Donaghue K., Klingensmith G., Swift P.G. ISPAD Clinical Practice Consensus Guidelines 2009 compendium // Pediatr Diabetes. — 2009. — Vol. 10, Suppl. 12. — P. 17-32.

Svensson J., Olsen B., Johannesen J., Mortensen H.B. Dansk Register for Barneog Ungdoms Diabetes. — Arsrapport, 2009. — 71 p.

Haugstvedt A., Wentzel-Larsen T., Rokne B., Graue M. Psychosocial family factors and glycemic control among children aged 1–15 years with type 1 diabetes: a population-based survey // BMC Pediatr. — 2011. — Vol. 11. — 188.

Дедов И.И., Петеркова В.А., Кураева Т.Л. Российский консенсус по терапии сахарного диабета у детей и подростков. — М., 2010. — С. 134-135.

ISPAD Consensus Guidelinens. The Management of Type 1 Diabetes in Children and Adolescents. — Swift PGF, Ed. Zeist, The Netherlands: Publ Medforum, 2000. — 125 p.

Менделевич В.Д. Клиническая психология. — М.: МЕДпресс-информ, 2008. — С. 269-270.

McNamara R., Robling M., Hood K. et al. Development and Evaluation of a Psychosocial Intervention for Children and Teenagers Experiencing Diabetes (DEPICTED): a protocol for a cluster randomised controlled trial of the effectiveness of a communication skills training programme for healthcare professionals working with young people with type 1 diabetes // BMC Health Serv. Res. — 2010. — Vol. 10. — 36.

Patton S.R., Dolan L.M., Smith L.B. et al. Pediatric parenting stress and its relation to depressive symptoms and fear of hypoglycemia in parents of young children with type 1 diabetes mellitus // J. Clin. Psychol. Med. Settings. — 2011. — Vol. 18, № 4. — P. 345-352.

Whittemore R., Jaser S., Chao A. et al. Psychological experience of parents of children with type 1 diabetes: a systematic mixed-studies review // Diabetes Educ. — 2012. — Vol. 38, № 4. — P. 562-579.

Laffel L.M., Connell A., Vangsness L. et al. General quality of life in youth with type 1 diabetes: relationship to patient management and diabetes-specific family conflict // Diabetes Care. — 2003. — Vol. 26, № 11. — P. 3067-3073.

Marphy H.R., Rayman G., Skinner T.C. Psycho-educational interventions for children and young people with type 1 diabets // Diabet Med. — 2006. — Vol. 23. — P. 935-943.

Anderson B.J., Holmbeck G., Iannotti R.J. et al. Dyadic measures of the parent-child relationship during the transition to adolescence and glycemic control in children with type 1 diabetes // Fam. Syst. Health. — 2009. — Vol. 27, № 2. — P. 141-152.

Wysocki T., Lochrie A., Antal H. Youth and parent knowledge and communication about major complications of type 1 diabetes: associations with diabetes outcomes // Child Care Health Dev. — 2011. — Vol. 37, № 2. — P. 224-232.

Fogel N.R., Weissberg-Benchell J. Preventing poor psychological and health outcomes in pediatric type 1 diabetes // Curr. Diab. Rep. — 2010. — Vol. 10, № 6. — P. 436-443.

Kakleas K., Kandyla B., Karayianni C., Karavanaki K. Psychosocial problems in adolescents with type 1 diabetes mellitus // Diabetes Metab. — 2009. — Vol. 35, № 5. — P. 339-350.

Grey M., Whittemore R., Liberti L. et al. A comparison of two internet programs for adolescents with type 1 diabetes: design and methods // Contemp Clin Trials. — 2012. — Vol. 33, № 4. — P. 769-776.

Fritsch S.L., Overton M.W., Robbins D.R. The interface of child mental health and juvenile diabetes mellitus // Diabetes Care. — 2008. — Vol. 31, № 8. — P. 1516-1520.

La Greca A., Follansbee D., Skyler J. Developmental and behavioural aspects of diabetes management in youngsters // J. Child Health Care. — 1990. — Vol. 19. — P. 132-139.

Про затвердження Державної цільової програми «Цукровий діабет» на 2009–2013 роки. Постанова Кабінету Міністрів України від 19 серпня 2009 р. № 877 із змінами і доповненнями, внесеними постановою Кабінету Міністрів України від 24 жовтня 2012 року № 970.

Сlark M. Diabetes self-management education: a review of published studies // Primary care diabetes. — 2008. — Vol. 2. — P. 113-120.

Funnel M., Brown T.I., Childs B.P. et al. National standards for diabetes self-management education // Diabetes Care. — 2008. — Vol. 31, № 1. — P. 97-104.

Лакосина Н.Д., Ушаков Г.К. Медицинская психология. — М., 1984. — 272 с.

Мэй Р. Смысл тривоги / Завалова М.И., Сибурина А.Ю. — М.: Независимая фирма «Класс», 2001. — С. 128-254.

Дедов И.И., Кураева Т.Л., Петеркова В.А., Щербачева Л.Н. Сахарный диабет у детей и подростков. — М., 2002. — С. 186-189.

Александер Ф. Психосоматическая медицина. Принципы и практическое применение: Пер. с англ. — М.: ЭКСМО-Пресс, 2002. — С. 236-238.

Малкина-Пых И.Г. Психосоматика // Справочник практического психолога. — М.: ЭКСМО, 2005. — С. 818-820.

Чумак С.А. Терапевтичне навчання і самоконтроль як провідна ланка в лікуванні цукрового діабету 1-го типу у дітей // Український журнал дитячої ендокринології. — 2012. — № 1. — С. 35-38.

Рачко Т.А., Большакова Н.И., Божко А.А. и др. Особенности психологического статуса больных сахарным диабетом и его динамика в процессе обучения // Актуальные вопросы медицины и новые технологии — 2005: Сб. ст. — Красноярск, 2005. — С. 227-231.

Schiffrin A. Psychosocial issues in pediatric diabetes // Curr. Diab. Rep. — 2001. — Vol. 1, № 1. — P. 33-40.

Vila G., Delhaye M., Bertrand C. et al. Micro-angiopathic and psychological risk in children and adolescents with type 1 diabetes // Presse Med. — 2002. — Vol. 31, № 4. — P. 151-157.

Herzer M., Hood K.K. Anxiety symptoms in adolescents with type 1 diabetes: association with blood glucose monitoring and glycemic control // J. Pediatr. Psychol. — 2010. — Vol. 35, № 4. — P. 415-425.

Grey M., Cameron M.E., Lipman T.H., Thurber F.W. Psychosocial status of children with diabetes in the first 2 years after diagnosis // Diabetes Care. — 1995. — Vol. 18, № 10. — P. 1330-1336.

Куликова Т.А. Семейная педагогика и домашнее воспитание. — М., 1999. — С. 94-112.