Meta-analysis of factors influencing quality of life in children and adolescents with type 1 diabetes mellitus

Li-Li Zhu, Ya-Fei Xu, Meng Yuan, Zhiling Zhu
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Abstract

Objective Evaluate the main factors affecting the quality of life of children and adolescents with type 1 diabetes. Methods The System retrieval from the establishment of the library to March 19, 2019 in the Chinese journal full-text database, China Biomedical Literature Database, Weipu Journal Full Text Database, Wanfang database, PubMed, Webscien database on the study of factors affecting the quality of life of children and adolescents with type 1 diabetes, using RevMan5.3 and Stata12.0 software, used the inclusion of the literature Meta analysis. Results According to the inclusion and exclusion criteria, a total of 17 documents were included, with a total sample size of 11266 cases. The combined effect of the effect sage factors of quality of life in children and adolescents with type 1 diabetes and 95% CI were gender 0.31 (0.20-0.42), age 0.22 (0.08-0.36), age of onset 0.07 (0.01 - 0.12), and whether it was an only child 0.62 (0.33 - 0.91), household annual income - 0.45 (-0.66 -- 0.24), blood sugar control 0.66 (0.50 - 0.82), number of insulin injections per day -0.22 (-0.39 --0.04), HbA1c0.39 (0.33 - 0.46). Conclusion Gender, age, age of onset, household annual income, blood sugar control, number of insulin injections per day, HbA1c were the main factors affecting the quality of life of children and adolescents with type 1 diabetes. To provide reference for hospitals, families, communities, schools to take a variety of practical measures. Key words: T1DM; Quality of life; Influence factors; Met-analysis
影响儿童和青少年1型糖尿病患者生活质量的因素荟萃分析
目的探讨影响儿童及青少年1型糖尿病患者生活质量的主要因素。方法系统检索自建库至2019年3月19日的中文期刊全文数据库、中国生物医学文献数据库、卫普期刊全文数据库、万方数据库、PubMed、Webscien数据库中有关影响1型糖尿病儿童青少年生活质量因素的研究,采用RevMan5.3和Stata12.0软件,对纳入的文献进行Meta分析。结果按照纳入和排除标准,共纳入文献17篇,总样本量11266例。影响儿童和青少年1型糖尿病患者生活质量的因素与95% CI的综合效应为:性别0.31(0.20-0.42)、年龄0.22(0.08-0.36)、发病年龄0.07(0.01 - 0.12)、是否为独生子女0.62(0.33 - 0.91)、家庭年收入- 0.45(-0.66 - 0.24)、血糖控制0.66(0.50 - 0.82)、每天注射胰岛素次数-0.22(-0.39 -0.04)、HbA1c0.39(0.33 - 0.46)。结论性别、年龄、发病年龄、家庭年收入、血糖控制情况、每日胰岛素注射次数、HbA1c是影响儿童青少年1型糖尿病患者生活质量的主要因素。为医院、家庭、社区、学校采取各种切实可行的措施提供参考。关键词:T1DM;生活质量;影响因素;Met-analysis
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