Health related quality of life of diabetic children and factors affecting it in Sohag University Hospital, Sohag, Egypt

Title: Health related quality of life of diabetic children and factors affecting it in Sohag University Hospital, Sohag, Egypt

Authors: Mohamed Abd ElAll Bakeet, Montaser Mohamed Mohamed, Hager Ahmed Hashim

DOI: http://dx.doi.org/10.18535/jmscr/v4i7.49

Abstract

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Abstract

Introduction: DM is the most common endocrine disease in children with increase in global incidence by 3% annually. Diabetes mellitus as chronic illness and its management negatively affect the quality of life of the diseased children. Health-related quality of life aspects are increasingly becoming an important concerns and outcome of diabetic patients management. Health-care professionals are becoming increasingly aware of the need to asses and monitor the QOL as an important outcome of diabetes care.

Aim of work: to assess the health related (QOL) and factors affecting it among children with type I diabetes.

Patients & methods: a hospital based cross sectional study that enrolled all diabetic children (80) in the Pediatric department from1st of May 2013 till the end 30^th 0f April 2014. Pediatric Quality Of Life Inventory Scale (PedsQL) was used.

Results: A total of 80 diabetetic children were enrolled in this study 60% of them were males. The mean age was 10.08 ± 2.1. 50% of the patients were diabetic for 1-3 years range and had follow up visits every 1-2 months and 45% of them had HbA1C level more than 10. A mean (Qol) total percent score of 70.2% ± 9.8 was found indicating a low life quality. Significant association was found between (Qol) and intensive insulin therapy, compliance to treatment and low level of HB1C (below7.5) while no significant association was found for duration of illness, No of follow up visits, No of blood sugar monitoring per day, No of hospital admission. Significant negative correlation was found between level of HB1C and high quality of life. No correlation was found between quality of life and other variables.

Conclusion: Measures for improving quality of life of diabetic children are needed with special emphasis on improving glycemic control.

Keywords: type I diabetes, insulin regimen, pediatric quality of life.

References

1. International Diabetes Federation. Key findings 2014. http://www.idf.org/diabetesatlas/update-2014

2. Melmed S, Polonsky SK, et al. Williams textbook of endocrinology. 12th edn. Philadelphia: Elsevier/Saunders, 2011. Google Scholar

3. Ali K, Harnden A, Edge J. Type 1 diabetes in children. BMJ 2011; 342:d294.

4. Epstein I, Stinson J, and Stevens B: The effect s of camp on health related quality of life in children with chronic illness. Journal of Pediatric Nursing.2005;22(2)891-7.

5. CDC - Concept - Health-Related Quality of Life

6. Bradley C: Measuring quality of life in diabetes. In The Diabetes Annual/10. Marshall SM, Home PD, Rizza RA, Eds. Amsterdam, Elsevier Science, 1996, p. 207-24.

7. Hockenberry-Eaton M, WInkelsteinML,Wilson D, Ahmann E, Divito Thomas P. Nursing care of infants and children.8th ed. Philadelphia:Mosby Co.2007:p.1053-1055.

8. Varni JW. Pediatric Quality of Life Inventory (ped QL).1998.(cited 2008 June 6).

9. Jafari P, Forouzandeh E, Bagheri Z, et al: Health-related quality of life of Iranian children with type 1 diabetes: reliability and validity of the Persian version PedsQL Core Scales and Diabetes Module. Health Qual Life Out- come 2011; 9: 104.

10. Braga de Souza AC1, Felício JS2, Koury CC3, Neto JF4, Miléo KB5, Santos FM6, Negrato CA7, Motta AR8, Silva DD9, Arbage TP10, Carvalho CT11, de Rider Brito HA12, Yamada ES13, Cunha de Melo FT14, Resende Fde S15, Ferreira JC16, Gomes MB17; Health-related quality of life in people with type 1 Diabetes Mellitus: data from the Brazilian Type 1 Diabetes Study Group. Health Qual Life Outcomes. 2015 Dec 24; 13(1):204.

11. Mostafa A Abolfotouh, Mofida M Kamal, Mohamed D El- Bougy and Sherine G Mohamed : Quality of life and glycemic control in adolescent with type 1 diabetes and impact of an education intervention. Dove press (2011); volume 2011: 4; 141-152

12. M. Abdul-Rasoul , F. AlOtaibi, A. Abdulla, Z. Rahme , F. AlShawaf: Quality of Life of Children and Adolescents with Type 1 Diabetes in Kuwait . Med Princ Pract (2013); 22: 379–384.

13. Laffel LM, 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;26:3067–3073

14. Kalyva E, Malakonaki E, Eiser C, Mamoulakis D. Health-related quality of life (HRQoL) of children with type 1 diabetes mellitus (T1DM): self and parental perceptions. Pediatric Diabetes 2011: 12: 34–40.

15. Fadia AlBuhairan, Maliha Nasim, Ahlam AlOtaibi, Naila A. Shaheen, Saleh Al Jaser, Ibrahim Al Alwan: Health related quality of life and family impact of type 1 diabetes among adolescents in Saudi Arabia Original Research Article. Diabetes Research and Clinical Practice, In Press, Corrected Proof, Available online 8 January 2016

16. Jean M. Lawrence, ScD, MPH, MSSA1, Joyce P. Yi-Frazier, PhD2, Mary Helen Black, PhD1, Andrea Anderson, MS3, Korey Hood, PhD4, Giuseppina Imperatore, MD, PhD5, Georgeanna J. Klingensmith, MD6, Michelle Naughton, PhD3, Elizabeth J. Mayer-Davis, PhD7, Michael Seid, PhD8, SEARCH for Diabetes in Youth Study Group.: Demographic and Clinical Correlates of Diabetes-Related Quality of Life among Youth with Type 1 Diabetes. Preliminary results of this study were presented at the European Association for the Study of Diabetes Annual Meeting, Vienna, Austria, September 30, 2009 and the International Association of Pediatric and Adolescent Diabetes (ISPAD) Meeting, Miami, Florida, October 20, 2011.

17. Chantelau E1, Schiffers T, Schütze J, Hansen B.: Effect of patient-selected intensive insulin therapy on quality of life. Patient Educ Couns. 1997 Feb; 30(2):167-73.

18. Ana Carolina Contente Braga de Souza, João Soares Felício, Camila Cavalcante Koury, João Felício Abrahão Neto, Karem Barbosa Miléo, Flávia Marques Santos, Carlos Antonio Negrato, Ana Regina Bastos Motta, Denisson Dias Silva, Thaís Pontes Arbage, Carolina Tavares Carvalho, Hana Andrade de Rider Brito, Elizabeth Sumi Yamada, Franciane Trindade Cunha de Melo, Fabricio de Souza Resende, Juliana Cristina Cardoso Ferreira, Marilia Brito Gomes, and On behalf of the Brazilian Type 1 Diabetes Study Group (BrazDiab1SG).: Health-related quality of life in people with type 1 Diabetes Mellitus: data from the Brazilian Type 1 Diabetes Study Group. Health Qual Life Outcomes. 2015; 13: 204. Published online 2015 Dec 24.

19. Wagner VM, Muller-Godeffroy E, von Seng- busch S, et al: Age, metabolic control and type of insulin regimen influence health-related quality of life in children and adolescents with type 1 diabetes. Eur J Pediatr 2005; 164: 491–496.

20. Veysel Nijat Baş1*, Aysun Bideci1, Ediz Yeşilkaya2, A. Şebnem Soysal3, Orhun Çamurdan1 and Peyami Cinaz1: Evaluation of Factors Affecting Quality of Life in Children with Type 1 Diabetes Mellitus. J Diabetes Metab 2:154.

21. Hanaa A. Mohammad, Hekma S. Farghaly, Kotb A. Metwalley, Eman M. Monazea,1 and Heba A. Abd El-Hafeez.: Correlates of glycemic control and quality of life outcomes in adolescents with type 1 diabetes. Pediatr Diabetes. 2010 Dec;11(8):563-71.

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