COVID-19 Pandemi Sürecinde Tip 1 Diyabetli Çocuğu Olan Ebeveynlerin Kaygısının Aile İşlevleri ve HbA1c Düzeyleri Üzerine Etkisi

Yıl 2023, , 110 - 117, 16.03.2023

Kübra Pınar Gürkan , Zühal Bahar , Dıjle Ayar , Ece Böber , Ayhan Abacı

https://doi.org/10.31832/smj.1197833

Öz

Amaç: Bu çalışmada, COVID-19 pandemi sürecinde tip 1 diyabetli çocuğu olan ebeveynlerin sürekli ve durumluk kaygısının aile işlevleri üzerine etkisinin incelenmesi amaçlanmıştır.
Yöntem ve Gereçler: Tanımlayıcı, kesitsel ve ilişkisel tipteki bu çalışma rastgele örnekleme yöntemi ile karantina döneminde yapılmıştır. Çalışma, Türkiye’nin batısındaki bir hastanenin pediatrik endokrinoloji polikliniğine kayıtlı 134 tip 1 diyabetli çocuğun ebeveynleri ile tamamlanmıştır.
Bulgular: Tip 1 diyabetli çocuğu olan ebeveynlerin aile işlevlerini sırasıyla en çok durumluk kaygı düzeyi ve sürekli kaygı düzeyi etkilediği saptanmıştır. Modelin genelinde aile işlevselliğini etkileyen faktörlerin %43’ünün ((F= 51.356, p<.001) durumluk ve sürekli kaygı düzeyi ile açıklandığı bulunmuştur.
Sonuç: Karantina döneminde ebeveynlerin atan kaygı düzeyleri aile işlevlerini olumsuz yönde etkilemiştir. Pandemi gibi halk sağlığı acil durumlarında kronik hastalığı olan çocukların ebeveynlerin dikkatle takip edilmeli, mental yönden değerlendirmeleri yapılarak erken dönemde gerekli önlemler alınmalıdır.

Anahtar Kelimeler

Type 1 Diyabet, aile işlevi, kaygı

Destekleyen Kurum

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Proje Numarası

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Teşekkür

Tüm katılımcılara teşekkür ederiz

The Effect of Anxiety of Parents with Children with Type 1 Diabetes on Family Functioning and HbA1c Levels during the COVID-19 Pandemic Process

Öz

Aim: This study was conducted to examine the effects of trait and state anxiety of parents who had children with type 1 diabetes on family functioning during the COVID-19 pandemic.
Materials and Method: This descriptive, cross-sectional, and correlational study was conducted during the quarantine period by using the random sampling method. The study was completed with the parents of 134 children with type 1 diabetes registered in the pediatric endocrinology outpatient clinic of a hospital in western Turkey.
Results: It was determined that the family functions of parents with children with type 1 diabetes were mostly affected by state anxiety level and trait anxiety level and HbA1c level, respectively. It was found that 45% (F= 36.764, p<.001) of the factors affecting family functioning in the model were explained by state and trait anxiety levels and HbA1c level.
Conclusion: The anxiety levels of parents during the quarantine period negatively affected family functioning. In public health emergencies such as pandemics, parents of children with chronic diseases should be followed carefully, mental assessments should be made, and necessary measures should be taken in the early period.

Anahtar Kelimeler

Type 1 Diabetes, Family Function., Anxiety

Proje Numarası

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Kaynakça

• 1. World Health Organization. COVID 19 Public Health Emergency of International Concern (PHEIC). Global research and innovation forum: towards a research roadmap. Published February 12, 2020. Accessed May 6, 2020.
• 2. Banerjee A, Pasea L, Harris S, et al. Estimating excess 1-year mortality associated with the COVİD-19 pandemic according to underlying conditions and age: a population-based cohort study. The Lancet. 2020;395(10238):1715-1725. doi:10.1016/S0140 -6736(20)30854
• 3. Puig-Domingo M, Marazuela M, Giustina A. COVİD-19 and endocrine diseases. A statement from the European Society of Endocrinology. Endocrine. 2020; 68(1):2-5. doi: 10.1007/s1202 0-020-02294 -5
• 4. Huang C, Wang Y, Li X, et al. Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. The Lancet. 2020;395(10223):497-506. doi:10.1016/S0140-6736(20)30183 -5
• 5. DiMeglio LA, Albanese-O’Neill A, Muñoz CE, Maahs DM. COVID-19 and children with diabetes—updates, unknowns, and next steps: first, do no extrapolation. Diabetes Care. 2020;43(11):2631-2634.
• 6. Pavone P, Ceccarelli M, Taibi R, La Rocca G, Nunnari G. Outbreak of COVİD-19 infection in children: fear and serenity. Eur Rev Med Pharmacol Sci. 2020;24(8):4572-4575. doi:10.26355 /eurre v_20200 4_21043
• 7. Moore SM, Hackworth NJ, Hamilton VE, Northam EP, Cameron FJ. Adolescents with type 1 diabetes: parental perceptions of child health and family functioning and their relationship to adolescent metabolic control. Health and quality of life outcomes. 2013;11(1):1-8.
• 8. Williams L, Laffel L, Hood K. Education and psychological aspects diabetes-specific family conflict and psychological distress in paediatric type 1 diabetes. Diabetic Medicine. 2009;26:908–914.
• 9. Çakan P, Sezer Ö. A study on the attitudes, anxsiety and demogafics variables of mothers having a child with diagnosed chronic illness. Fırat University Journal of Social Science. 2010;20(2):161–180.
• 10. Monaghan M, Herbert LJ, Cogen FR, Streisand R. Sleep behaviors and parent functioning in young children with Type 1 diabetes. Child Health Care. 2012;41(3):246–259. doi:10.1080/02739615.2012.685385
• 11. Monaghan M, Hilliard ME, Cogen FR, Streisand R. Nighttime caregiving behaviors among parents of young children with Type 1 diabetes: Associations with illness characteristics and parent functioning. Families, Systems, & Health. 2009;27(1):28–38. doi:10.1037/a0014770
• 12. Rechenberg K, Grey M, Sadler L. Stress and posttraumatic stress in mothers of children with type 1 diabetes. Journal of Family Nursing.2017;23(2):201-225.
• 13. Stucky H, Kalra A, Kulzer B, Malek R, Munro N, Peyrot M. View of hypoglycaemia by people with diabetes and family members: Second Diabetes Attitudes, Wishes and Needs (DAWN2) Study. DAWN Summit. 2013; 30(7), 767-777.
• 14. Yang J, Zheng YA, Gou X, et al. Prevalence of comorbidities and its effects in coronavirus disease 2019 patients: a systematic review and meta-analysis. International Journal Infection Disorder. 2020;94:91–95.
• 15. An R. Projecting the impact of the coronavirus disease-2019 pandemic on childhood obesity in the United States: a microsimulation model. Journal Sport Health. Science 2020;4:302–312.
• 16. Rumburg TM, Lord JH, Savin KL. Jaser SS. Maternal diabetes distress is linked to maternal depressive symptoms and adolescents’ glycemic control. Pediatric Diabetes.2017;1:67–70.
• 17. Spielberger CD, Gorsuchrl LE, Lushene RE. Manual for the State-Trait Anxiety Inventory. Palo Alto Consulting Psychologist Press;1970.
• 18. Di Riso D, Bertini S, Spaggiari S, et al. Short-term effects of covid-19 lockdown in Italian children and adolescents with type 1 diabetes mellitus: the role of separation anxiety. International Journal of Environmental Research and Public Health, 2021;18(11): 5549.
• 19. Faul F, Erdfelder E, Buchner A, Lang AG. G*Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behavior Research Methods, 2007;39(2):175–191.doi:10.3758/BF03193146
• 20. Öner N, Le Compte A. Manual for the State-Trait Anxiety Inventory, 1. Press, Boğaziçi University Publishing, Istanbul;1983
• 21. Varni JW, Sherman SA, Burwinkle TM, Dickinson PE, Dixon P. The PedsQL™ family impact module: preliminary reliability and validity. Health and quality of life outcomes. 2004;2(1):55. doi: 10.1186/1477-7525-2-55.
• 22. Gürkan KP, Bahar Z, Çapık C, Aydoğdu NG, Beşer A. Psychometric properties of the Turkish version of the pediatric quality of life: The family impact module in parents of children with type 1 diabetes. Children's Health Care. 2020;49(1):87-99.
• 23. Holmes EA, O'Connor RC, Perry VH, et al. Multidisciplinary research priorities for the COVID-19 pandemic: a call for action for mental health science. The Lancet Psychiatry. 2020;7(6):547-560.
• 24. Luo M, Guo L, Yu M, Wang H. The psychological and mental impact of coronavirus disease 2019 (COVİD-19) on medical staff and general public – A systematic review and meta-analysis. Psychiatry Research. 2020;291:113190. doi: 10.1016/j.psychres.2020.113190
• 25. Whittemore R, Jaser S, Chao A, Jang M, Grey M. Psychological experience of parents of children with type 1 diabetes: a systematic mixed-studies review. Diabetes Education. 2012;38:562–579.
• 26. Noser AE, Dai H, Marker AM, et al. Parental depression and diabetes-specific distress after the onset of type 1 diabetes in children. Heal Psychol. 2019;2:103–112.
• 27. Van Gampelaere C, Luyckx K, Van Ryckeghem DML, et al. Mindfulness, worries, and parenting in parents of children with type 1 diabetes. J Pediatr Psychol. 2019;44:499–508.
• 28. Commissariat PV, Harrington KR, Whitehouse AL, et al. “I’m essentially his pancreas”: parent perceptions of diabetes burden and opportunities to reduce burden in the care of children <8 years old with type 1 diabetes. Pediatric Diabetes. 2020;21(2): 377–383.
• 29. Alessi J, de Oliveira GB, Erthal IN., et al.“Not having a minute of self-distancing during the social distancing is exhausting”: a qualitative study on the perspective of caregivers of youth with type 1 diabetes during the COVİD-19 pandemic. Acta Diabetologica. 2021;1-8.
• 30. Alessi J, de Oliveira GB, Feiden G, Schaan BD, Telo GH. Caring for caregivers: the impact of the COVİD-19 pandemic on those responsible for children and adolescents with type 1 diabetes. Scientific Reports. 2021;11(1):1-10.
• 31. Monzon A, Kahhan N, Marker A, Patton S. Challenges and considerations for reducing diabetes distress and fear of hypoglycemia in parents of youth with type 1 diabetes during the covid-19 pandemic. JMIR pediatrics and parenting. 2021;4(2):e25106.
• 32. Cobry EC, Vıgers TB, Pyle L, Meltzer LJ. 156-LB: Family Exposure and Impact of COVİD-19 on a Pediatric T1D Population. Diabetes 2021 Jun; 70(1) Late Breaking Poster Presentations: Clinical Diabetes/Therapeutics;2021