The Metabolic Control and Quality of Life Levels of Children with Type 1 Diabetes Using Insulin Pen and Insulin Pumps

Year 2022, Volume: 8 Issue: 1, 65 - 71, 21.03.2022

Gamze Nur Kardaş Ayşe Gürol

https://doi.org/10.30934/kusbed.988288

Cited By: 2

Abstract

Objective: The aim of the study we conducted in this direction is to compare the metabolic control and quality of life of pediatric patients in the 8-12 age group who use insulin pen or insulin pump with the diagnosis of diabetes.
Methods: This research is a descriptive and relationship seeking study. The research sample consists of children in the 8-12 age group (n=80), who were diagnosed with Type 1 Diabetes Mellitus at least 6 months ago. Socio-demographic Information Form, Metabolic Control Form and Quality of Life in Children with Type 1 Diabetes Scale were applied to the children participating in the study. Data were analyzed by using the SPSS 24.0 package program.
Results: It was determined that the HbA1c levels of children using insulin pen were higher than children using insulin pumps. It was determined that children using an insulin pen count carbohydrates at a lower rate compared to children using insulin pump. In the study, the total mean score of quality of life of the children using insulin pen was 1433.75±354.076, and the mean score of the children using insulin pump was 2075.00±316.278. It was determined that the children using insulin pumps had a higher mean score from the quality of life scale and its sub-dimensions compared to the children using insulin pen, and the difference between them was statistically significant in terms of the sub-dimensions and total score average of the scale, except for the Communication sub-dimension (p<0.05).
Conclusion: It was concluded that children using an insulin pump had better metabolic control compared to children using an insulin pen and their quality of life increased as their HbA1c levels decreased. For this reason, it was recommended that the use of pumps should be expanded in children in order to ensure good metabolic control.

Keywords

Children, insulin pen, insulin pomp, metabolic control, nurse, type 1 diabetes, life quality

İnsülin Kalemi ve Pompası Kullanan Tip 1 Diyabet Hastası Çocuklarda Metabolik Kontrol ve Yaşam Kalitesi Düzeyleri

Abstract

Amaç: Çalışma, diyabet tanısıyla insülin kalemi ve insülin pompası kullanan 8-12 yaş grubundaki çocuk hastaların metabolik kontrol ve yaşam kalitelerini karşılaştırmak amacıyla yapılmıştır.
Yöntem: Tanımlayıcı ve ilişki arayıcı tiptedir. Çalışmanın evrenini en az 6 ay önce Tip 1 diyabet tanısı alan 8-12 yaş grubundaki çocuklar (n=80) oluşturmuştur. Çalışmaya katılan çocuklara Sosyo-demografik Bilgi Formu, Metabolik Kontrol Formu ve Tip 1 Diyabetli Çocuklarda Yaşam Kalitesi Ölçeği uygulanmıştır. Veriler SPSS 24.0 istatistik paket programı kullanılarak analiz edilmiştir.
Bulgular: Çalışmada insülin kalemi kullanan çocukların HbA1c düzeylerinin insülin pompası kullanan çocuklara kıyasla daha yüksek olduğu saptanmıştır. İnsülin kalemi kullanan çocukların insülin pompası kullananlara kıyasla daha az oranda karbonhidrat sayımı yaptıkları belirlenmiştir. İnsülin kalemi kullanan çocukların yaşam kalitesi toplam puan ortalaması 1433,75±354,076, insülin pompası kullanan çocukların toplam puan ortalaması 2075,00±316,278’dir. İnsülin pompası kullanan çocukların yaşam kalitesi ölçeği ve alt boyutlarından insülin kalemi kullanan çocuklara kıyasla daha fazla puan ortalamasına sahip oldukları, İletişim alt boyutu hariç diğer alt boyutlar ve ölçek toplam puan ortalaması açısından aralarındaki farkın istatistiksel olarak anlamlı olduğu belirlenmiştir (p<0,05).
Sonuç: İnsülin pompası kullanan çocukların insülin kalemi kullanan çocuklara kıyasla daha iyi metabolik kontrol sağladıkları ve HbA1c düzeyleri azaldıkça yaşam kalitelerinin arttığı sonucuna varılmıştır. Bu nedenle iyi bir metabolik kontrolün sağlanması amacıyla çocuklarda pompa kullanımının yaygınlaştırılması gerektiği önerilmektedir.

Keywords

Çocuk, insülin kalemi, hemşire, insülin pompası, metabolik kontrol, tip 1 diyabet, yaşam kalitesi

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