Quality of life of adolescents with type 1 diabetes mellitus

S. Vasconcelos, S. Cunha, Alícia Rebelo, C. Ferreira, Carla Meireles, Ângela Dias
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Abstract

Introduction: Type 1 diabetes mellitus is one of the most common endocrine-metabolic disorders of childhood and adolescence and requires a continuous and rigorous therapeutic approach, with recognized impact on children and adolescents’ quality of life.The purpose of this study was to evaluate the quality of life of adolescents with type 1 diabetes mellitus and its relationship with clinical and laboratory aspects and lifestyle.Material and Methods: DQOL questionnaire was applied to type 1 diabetes mellitus adolescents managed at the Pediatric Diabetology consultation of a level II hospital for more than one year. Questionnaire has a global score between 36 and 180, with higher scores reflecting worse quality of life. Statistical analysis was performed in SPSS®.Results: Seventy-one percent (n=36) of adolescents responded to the survey, 55.6% of which male, with a median age of 15 years. Median DQOL global score was 66. Adolescents with good metabolic control had a median global score of 49, compared with 71 in adolescents with poor metabolic control (p=0.007). The median global score of self-perception of better health was 51 compared to 73 for self-perception of poorer health (p=0.007).Discussion: In general, adolescents in this study revealed a satisfactory quality of life. Adolescents with better metabolic control have a higher satisfaction and better quality of life. Adolescents with better self-perceived health have a better quality of life.Conclusion: Recognizing factors that affect quality of life of adolescents with type 1 diabetes mellitus is crucial to devise therapeutic strategies that meet their expectations, promoting treatment adherence and better metabolic control.
青少年1型糖尿病患者的生活质量
1型糖尿病是儿童和青少年最常见的内分泌代谢疾病之一,需要持续和严格的治疗方法,对儿童和青少年的生活质量产生公认的影响。本研究的目的是评估青少年1型糖尿病患者的生活质量及其与临床、实验室和生活方式的关系。材料与方法:采用DQOL问卷对在某二级医院儿科糖尿病会诊1年以上的1型糖尿病青少年患者进行调查。问卷的整体得分在36到180之间,得分越高反映生活质量越差。采用SPSS®软件进行统计分析。结果:71% (n=36)的青少年回应了调查,其中55.6%为男性,中位年龄为15岁。DQOL全球评分中位数为66。代谢控制良好的青少年总体得分中位数为49分,而代谢控制不良的青少年为71分(p=0.007)。自我感觉较健康的整体中位数得分为51,而自我感觉较差的整体中位数得分为73 (p=0.007)。讨论:总的来说,本研究中的青少年表现出令人满意的生活质量。代谢控制较好的青少年满意度较高,生活质量也较好。自我认为健康状况较好的青少年生活质量较好。结论:认识影响青少年1型糖尿病患者生活质量的因素对于制定符合其预期的治疗策略,促进治疗依从性和更好的代谢控制至关重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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