Quality of Life in Children With Diabetes Treated With Insulin Pump Compared With Multiple Daily Injections in Tertiary Care Center
| Autor: | Yousef H Qari, Abdulaziz A AbuAlnasr, Sahl A AlShaikh, Khalid Alshehri, Waseem Alhawsawi, Abdullah M Al Zahrani, Adnan Al Shaikh |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
multiple daily injections
Insulin pump Pediatrics medicine.medical_specialty Endocrinology Diabetes and Metabolism 030209 endocrinology & metabolism lcsh:Diseases of the endocrine glands. Clinical endocrinology Tertiary care 03 medical and health sciences 0302 clinical medicine Quality of life (healthcare) children Diabetes mellitus Internal Medicine Medicine 030212 general & internal medicine Glycemic Health related quality of life lcsh:RC648-665 business.industry medicine.disease Subcutaneous insulin insulin pump diabetes mellitus Original Article business Health related Quality Of Life |
| Zdroj: | Clinical Medicine Insights. Endocrinology and Diabetes Clinical Medicine Insights: Endocrinology and Diabetes, Vol 13 (2020) |
| ISSN: | 1179-5514 |
| Popis: | Background: Continuous Subcutaneous Insulin Infusion (CSII) and Multiple Daily Injections (MDI) have been widely used as options in treating diabetes in childhood. Glycemic control is important to reduce diabetes complications; however, more focus needs to be on patients’ Quality of Life (QoL). Diabetes and QoL have strong associations in terms of patients’ overall health including their psychology, physical well-being, compliance with medication. A previous systematic review stressed that strong evidence to deny or prove the benefits of insulin pump therapy on health-related quality of life is deficient. The aim of this study is to assess the health-related quality of life and the psychological impacts of children with diabetes who use CSII and MDI treatment. Methods: A cross-sectional study included 68 pediatric patients with type 1 Diabetes (T1DM) who were treated in a tertiary center in Jeddah, Saudi Arabia. We used the Pediatric Quality of Life Inventory 3.0 Diabetes Module and this module assesses the health-related quality of life of children with diabetes. Results: Thirty-four (50%) participants found to be on MDI, of which 21 (61.8%) are males, compared to 34 (50%) patients using CSII, of which 12 (35.2%) are females. Participants using CSII had statistically significant better symptom control, less treatment difficulties but were more worrisome than MDI participants. Conclusion: CSII group had better quality of life in almost all aspects even though they were more worrisome. Further studies with a larger sample size are needed to give comprehensive generalizations. |
| Databáze: | OpenAIRE |
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