葡萄牙1型糖尿病青少年的健康和生活方式

ML Serrabulho, MG Matos PhD, J Raposo PhD
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引用次数: 17

摘要

青春期的变化会影响1型糖尿病青少年对糖尿病治疗的依从性和生活质量。这项研究的目的是评估1型糖尿病青少年的行为和生活方式、心理适应和社会支持,并将结果与“葡萄牙青少年健康”研究的结果进行比较。研究参与者包括91名患有1型糖尿病的青少年,年龄在11至16岁之间,他们在葡萄牙糖尿病协会接受糖尿病监测咨询。数据通过一份由57个问题组成的问卷收集,这些问题由青少年回答。本研究采用定量研究方法,结合描述性分析、比较统计、相关统计和推论统计。结果显示,糖尿病青少年的饮食习惯更健康,生活满意度更积极,但健康感知的积极程度低于其他青少年。所有青少年的体重、身高、体育和休闲活动都是相似的。青少年在胰岛素治疗、饮食习惯、体育锻炼和血糖监测方面表现出满意的依从性(59-92%)。然而,他们的HbA1c水平较高(平均9.9% [85mmol/mol])。HbA1c水平最高与健康意识差(p<0.01)和血糖监测频率较低(p<0.01)有关。0.05)。糖尿病最佳表征和最佳心理适应与定期体育锻炼呈正相关(p<0.05)。研究参与者报告说,他们得到了来自家庭、老师、朋友和医疗团队的良好社会支持(64-95%),并提到了与其他1型糖尿病青少年一起参加小组会议和夏令营的好处。结论是,尽管青少年1型糖尿病患者坚持良好的糖尿病治疗和健康的生活方式,但代谢控制并不令人满意。版权所有©2012上海工贸大学John Wiley &出版;研究机构:葡萄牙糖尿病协会
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The health and lifestyles of adolescents with type 1 diabetes in Portugal

The changes during adolescence can affect adherence to diabetes treatment and the quality of life of adolescents with type 1 diabetes.

The aims of this study were to evaluate the behaviours and lifestyles, psychological adaptation and social support of adolescents with type 1 diabetes, and to compare the results with those of ‘The Health of Portuguese Adolescents’ study.

Study participants comprised 91 adolescents with type 1 diabetes, aged between 11 and 16 years, who were receiving diabetes monitoring consultations at the Portuguese Diabetes Association. Data were collected via a questionnaire consisting of 57 questions which were answered by the adolescents. This study used quantitative research methods with descriptive analysis, and comparative, correlational and inferential statistics.

The results showed that adolescents with diabetes have healthier eating habits and a more positive attitude towards their satisfaction with life, but their health perception is less positive than that of other adolescents. Body weight, height, and physical and leisure activities are similar in all of the adolescents. Youngsters show satisfactory adherence to insulin therapy, eating habits, physical exercise and glucose monitoring (59–92%). However, they present a high level of HbA1c (mean 9.9% [85mmol/mol]). The highest levels of HbA1c have been related to poor health perception ( p<0.01) and less frequent blood glucose monitoring ( p< 0.05). The best representations and the best psychological adaptation to diabetes are positively correlated to regular physical exercise ( p<0.05). Study participants reported that they have good social support from family, teachers, friends and their health care team (64–95%) and refer to the benefits of group sessions and summer camps with other youngsters with type 1 diabetes.

It was concluded that metabolic control in adolescents with type 1 diabetes is unsatisfactory, in spite of good adherence to diabetes treatment and a healthy lifestyle.Copyright © 2012 FEND. Published by John Wiley & Sons, Ltd.

Institution where the research was done: Portuguese Diabetes Association

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