Nocturnal Hypoglycemia in Type 1 Diabetes “Do Parents Know How to Prevent?”:A Descriptive Study

Abstract

Aim: The study was carried out to evaluate the knowledge of parents of children and adolescents aged 6-18 years with type 1 diabetes about the prevention of nocturnal hypoglycemia. Material and Methods: This descriptive study was conducted with the parents of 150 children and adolescents with type 1 diabetes who were followed up in the pediatric endocrinology outpatient clinics of four hospitals in Istanbul between January and May 2018. The data of the study were collected by using the Parent Information Information Form and the Parent Hypoglycemia Information Form. Descriptive statistics and Mann Whitney U test were used in the analysis of the data. Results: The mean age of the participants was 39.23±7.205, and the diabetes age of their children was 5.17±3.75. 78.7% (n=18) of the participants received training on nocturnal hypoglycemia. It was determined that information on nocturnal hypoglycemia was obtained from nurses (65.3%; n=98) to a large extent. It has been observed that the first application in case of nocturnal hypoglycemia is often (45.3%; n=68) to give fast-acting carbohydrates according to their weight and to measure blood glucose immediately (43.3%; n=65). The correct response rate of the participants to the form in which their knowledge level about nocturnal hypoglycemia was evaluated was 60%. A statistically significant difference was found between the total score of the parent hypoglycemia information form and those who received training on nocturnal hypoglycemia (U=1101, p<0.001). Conclusion: It was determined that the level of knowledge of the parents of children/adolescents with type 1 diabetes regarding prevention of nocturnal hypoglycemia and intervention to nocturnal hypoglycemia was insufficient

Keywords

• Type 1 diabetes
• Hypoglycemia
• Nocturnal hypoglycemia

Tip 1 Diyabette Gece Hipoglisemisi “Ebeveynler Önlemeyi Biliyor mu?”: Tanımlayıcı Bir Çalışma

Öz

Amaç: Araştırma 6-18 yaş grubu tip 1 diyabetli çocuk ve ergenlerin ebeveynlerinin gece hipoglisemisinin önlenmesiyle ilgili bilgi durumunun değerlendirmek amacıyla gerçekleştirilmiştir. Gereç ve Yöntemler: Tanımlayıcı tasarımdaki araştırma, Ocak-Mayıs 2018 tarihleri arasında İstanbul ilindeki dört hastanenin pediatrik endokrinoloji polikliniklerinde takipli 150 tip 1 diyabetli çocuk ve ergenin ebeveynleri ile gerçekleştirilmiştir. Araştırmanın verileri Ebeveyn Tanıtıcı Bilgi Formu ve Ebeveyn Hipoglisemi Bilgi Düzeyi Formu’ndan yararlanılarak toplanmıştır. Verilerin analizinde tanımlayıcı istatistikler ve Mann Whitney U testi kullanılmıştır. Bulgular: Katılımcıların yaş ortalaması 39,23±7,205 olup, çocuklarının diyabet yaşı 5,17±3,75’tir. Katılımcıların %78,7(n=118)’si gece hipoglisemilerine yönelik eğitim almıştır. Gece hipoglisemisine yönelik bilginin büyük oranda (%65,3; n=98) hemşireden alındığı saptanmıştır. Gece hipoglisemisi durumunda yapılan ilk uygulamanın sıklıkla (%45,3; n=68) kilosuna göre hızlı etkili karbonhidrat vermek ve hemen kan glikozu ölçümü yapmak (%43,3; n=65) olduğu görülmüştür. Katılımcıların gece hipoglisemisi ile ilgili bilgi düzeylerinin değerlendirildiği forma verdikleri doğru yanıt oranı %60 olarak saptanmıştır. Ebeveyn hipoglisemi bilgi durumu formu toplam puanı ile gece hipoglisemisi ile ilgili eğitim alanlar arasında istatistiksel olarak anlamlı fark saptanmıştır (U=1101, p<0.001). Sonuç: Araştırma sonucunda tip 1 diyabetli çocuk/ergen ebeveynlerinin gece hipoglisemisinin önlenmesi ve gece hipoglisemisine müdahale ilgili bilgi düzeylerinin yetersiz olduğu saptanmıştır.

Anahtar Kelimeler

• Tip 1 diyabet
• hipoglisemi
• gece hipoglisemisi

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