COVID-19 Pandemisinin Tip 1 Diyabetes Mellitus Tanılı Çocuklar ve Ailelerinin Yaşam Kalitesi Üzerindeki Etkisi: İnsülin İnfüzyon Pompası Kullanan Hastalar

Abstract

Amaç: Bu çalışma, COVID-19 pandemisinin Tip 1 Diyabetes Mellitus (T1DM) tanılı çocuklar ve ailelerinin yaşam kalitesi (QOL) üzerindeki etkisini, özellikle insülin infüzyon pompalarının etkisine odaklanarak incelemeyi amaçlamaktadır. Ayrıca, pandemi süresince hem çocukların hem de ebeveynlerin QOL’undaki değişiklikler tespit edilmeye çalışılmıştır. Gereç ve Yöntem: Çocuklar için KINDL (KINDer Lebensqualitätsfragebogen: Çocuk Yaşam Kalitesi Anketi) ve ebeveynler için Dünya Sağlık Örgütü Yaşam Kalitesi Ölçeği (WHOQOL)-BREF Türkçe Versiyonu (TR) (WHO-QOL-BREF-TR) kullanılmıştır. Veriler Google Forms üzerinden toplanmış, değerlendirmeler pandemi öncesi ve pandemi sırasında yapılmıştır. Bulgular: Çalışmaya katılan 61 katılımcının 38’i (%62,3) kadındı ve katılımcıların yaş ortalaması 12,7±2,9 yıl, diyabet süresi ortalaması ise 6,4±2,5 yıldı. Pandemi öncesinde KINDL’nin “duygusal sağlık” ve “okul” alt boyutlarının puanları, pandemi süresindekilerden anlamlı derecede daha yüksekti (sırasıyla p=0,022 ve p=0,002). Şaşırtıcı bir şekilde, pandemi sırasında HbA1c seviyeleri pandemi öncesine göre iyileşmiştir (p<0,001). Pandemi öncesi ve sırasında çocukların ve ebeveynlerin QOL’ları arasında güçlü korelasyonlar bulunmuştur (p<0,001). Ebeveynlerin WHOQOL-BREF üzerindeki fiziksel sağlık puanları pandemi sırasında anlamlı şekilde düşmüştür (p=0,012). Sonuç: Pandemi süresince HbA1c seviyelerindeki iyileşme dikkate değer olup, daha fazla araştırma gerektirmektedir. Ayrıca, pandemi çocukların duygusal sağlıklarını ve ebeveynlerin fiziksel sağlıklarını olumsuz etkilemiş, bu tür kriz dönemlerinde bu alanlarda daha fazla desteğin gerekliliğine işaret etmiştir.

Keywords

• COVID-19 Pandemisi
• Tip 1 Diyabetes Mellitus
• İnfüzyon pompaları
• Yaşam kalitesi

The Effect of COVID-19 Pandemic on Quality of Life in Children with Type 1 Diabetes Mellitus and Their Families Using Insulin Infusion Pumps

Abstract

Objective: This study aimed to assess the impact of the coronavirus disease (COVID-19) pandemic on the quality of life (QOL) of children with type 1 Diabetes Mellitus (T1DM) and their families, specifically focusing on the effects of insulin infusion pumps. We also aimed to identify changes in both children's and parents' QOL during the pandemic period. Methods: This study utilized the KINDL (KINDer Lebensqualitätsfragebogen: Children’s QOL) questionnaire for the children, and the World Health Organization Quality of Life (WHOQOL)-BREF Turkish Version (TR) (WHO-QOL-BREF-TR) scale for their parents. Data were collected using Google Forms, with assessments performed before and during the pandemic. Results: The study included 61 participants, 38 of whom were female (62.3%), with a mean age of 12.7±2.9 years and a mean diabetes duration of 6.4±2.5 years. Pre-pandemic KINDL scores for "emotional health" and "school" were significantly higher than those during the pandemic (p=0.022 and p=0.002, respectively). Surprisingly, HbA1c levels improved during the pandemic compared to the pre-pandemic values (p<0.001). There were strong correlations between children's and parents' QOL before and during the pandemic (p<0.001). Parents' physical health scores on the WHOQOL-BREF decreased significantly during the pandemic (p=0.012). Conclusion: Improvement in HbA1c levels during the pandemic warrants further investigation. Additionally, the pandemic negatively affected the emotional well-being of children and the physical health of parents, highlighting the need for more support in these areas during times of crisis.

Keywords

• COVID-19 Pandemic
• Type 1 Diabetes Mellitus
• Infusion Pumps
• Quality of Life

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