scholarly journals Happiness and Hope for Success in T1DM Patients

Author(s):  
Katarzyna Cyranka ◽  
Domnika Dudek ◽  
Bartłomiej Matejko ◽  
Piotr Małecki ◽  
Maciej T Małecki ◽  
...  

Abstract Happiness and hope are essential parts of human health. One of the main purposes of health care, including diabetes care, are to achieve happiness and a sense of purpose in life. Material and methodDuring educational workshops a short survey concerning the level of happiness and hope for success in the group of Type 1 Diabetes Mellitus (T1DM) patients was carried out. 120 patients anonymously filled in Subjective Happiness Scale (SHS) and a Hope for Success Questionnaire (KNS).Results and conclusionsThe level of subjective happiness in T1DM patients was lower than in general population for both sexes, for all age categories apart from people older than 50, who seem to be happy and satisfied with their life with no differences compared to the general population. In terms of hope for success, T1DM teenagers and adults aged 27-50 did not differ from the general population. T1DM patients older than 50 turned out to have higher hope for success in life that other T1DM patients. Special attention should be paid to patients in young adulthood (18-26), who seem to be the most pessimistic group of T1DM patients, with low self-esteem and low believe in their possibilities.

2017 ◽  
Vol 5 ◽  
pp. 205031211770005 ◽  
Author(s):  
Åse Boman ◽  
Margareta Bohlin ◽  
Mats Eklöf ◽  
Gun Forsander ◽  
Christian Munthe ◽  
...  

2017 ◽  
Vol 44 (1) ◽  
pp. 72-82 ◽  
Author(s):  
Robin Whittemore ◽  
Rebekah M. Zincavage ◽  
Sarah S. Jaser ◽  
Margaret Grey ◽  
Julia L. Coleman ◽  
...  

Purpose The purpose of this study was to understand the experience of parenting an adolescent with type 1 diabetes (T1DM), to develop a prototype of an eHealth program for parents of adolescents with T1DM, and to evaluate the prototype content and acceptability from the perspective of parents and health care providers. Methods A multiphase method was used generating both qualitative and quantitative data at multiple time points. There were 27 parents of adolescents aged 12 to 18 years with T1DM and 16 health care providers who participated in semistructured interviews to identify parental challenges; 53 parents and 27 providers evaluated the prototype. Thematic content analysis was used to analyze interview transcripts, and descriptive statistics were used to summarize survey data. Results Challenges experienced by parents of adolescents with T1DM included understanding the developmental and hormonal changes of adolescence that affect diabetes care, feeling tension between adolescent independence and parent control, communicating without nagging or conflict, transferring diabetes care responsibility safely, dealing with feelings of stress and distress, and perceiving a lack of resources for T1DM care and insufficient personal time for self-care. In the prototype evaluation, both parents and providers found content to be relevant and provided feedback to guide the development of the full program. Conclusions Parents of adolescents with T1DM and providers expressed a need for parents to have more support in transitioning diabetes care from parent to adolescent. eHealth programs offer an ideal way to address these needs and ultimately can be linked to electronic medical records improving quality and efficiency of health care in this population.


2017 ◽  
Vol 51 (0) ◽  
Author(s):  
Paula Carolina Bejo Wolkers ◽  
Marina Sayuri Yakuwa ◽  
Letícia Pancieri ◽  
Clesnan Mendes-Rodrigues ◽  
Maria Cândida de Carvalho Furtado ◽  
...  

Abstract OBJECTIVES Identifying the use of child care situations, the vaccination situation and the reasons for non-vaccination, and characterizing whether mothers/guardians demonstrate notions about the right to special vaccines for children with type 1 Diabetes Mellitus. METHOD A descriptive, cross-sectional study with analysis of quantitative data based on interviews with mothers/guardians, particularly regarding access to childcare and vaccination against influenza and pneumococcal 23-valent (PPSV). RESULTS 47 mothers/guardians participated in the study. The participants reported using more specialized services to follow child health, and only a few used the child care of the basic health care regularly. There were incomplete vaccination schedules, delayed annual follow-ups, missing vaccination cards at the consultations, misinformation about the special character of the vaccination, as well as emphasis on the need of presenting a specific form to obtain the vaccination, resulting in discontinuation of health actions and missed opportunities for vaccination. CONCLUSION Fragilities in child care and immunization actions require an increase of primary health care and of the care network, based on knowledge and the right to health in order to expand the evidence-based practice, access and comprehensiveness.


2020 ◽  
Author(s):  
Katharina Schiller ◽  
Markus Kofler ◽  
Martin Frühwirth ◽  
Michaela Fantur ◽  
Markus Rauchenzauner

Abstract BackgroundThe aim of this study was to examine a possible association of HbA1c, quality of life (QoL), fitness, and electrophysiological parameters in children with type 1 diabetes mellitus (T1DM).MethodsThe study population (n = 34) consisted of patients with T1DM (n = 17) and an age- and BMI-matched healthy control group (n = 17). HbA1c was obtained from patients with T1DM at time of diagnosis (T0), at 6 months (T6), at 12 months (T12), and at time of study inclusion (Tstudy). QoL was determined with a standardized questionnaire (KINDL-R). All children completed a 6-minute walk test (6MWT) to evaluate their fitness level. Electrodiagnostic studies established upper and lower limb motor and sensory nerve conduction velocities (NCV).ResultsHigher HbA1c (Tstudy) was associated with lower QoL showing in the subscales self-esteem, friends and school. Higher HbA1c (T6) and (T12) was associated with lower QoL in the subscale self-esteem. Based on various subscales, perceived problem areas differed significantly between children and their parents. No differences in fitness level and NCV were found between patients and controls except for a significantly slower median motor NCV in patients. HbA1c was not associated with NCVs at this early stage of disease.ConclusionsGood metabolic control reflected by adequate HbA1c values seems to be important for a good QoL in children with T1DM. Early HbA1c analysis serves as predictor for QoL during follow-up.Trial registration: Retrospectively registered


2013 ◽  
Vol 19 (6) ◽  
pp. 946-952 ◽  
Author(s):  
Katharine Garvey ◽  
Howard Wolpert ◽  
Lori Laffel ◽  
Erinn Rhodes ◽  
Joseph Wolfsdorf ◽  
...  

Author(s):  
Hyun Jin Kwon ◽  
Hyok Ju Maeng ◽  
Justin A. Haegele ◽  
Young Ah Lee ◽  
Choong Ho Shin ◽  
...  

Background: Even though a number of studies have verified the positive effect of physical activity (PA) on self-related health (SRH) no previous research has examined this association among pediatric patients with Type 1 diabetes mellitus (T1DM). Objective: The purpose of this study was to investigate the association between regular physical activity (PA) and self-rated health (SRH) in pediatric patients with Type 1 diabetes mellitus (T1DM) who lacked diabetes care. Methods: We conducted a retrospective study among pediatric patients with T1DM who lacked diabetes care and were enrolled in a diabetes education program between January 2011 to January 2015 at the endocrinology clinic of Seoul National University Children’s Hospital in South Korea. The eligible participants for this study were 37 pediatric patients with T1DM aged 9 to 17 years. PA was divided into regular PA and muscle strength exercise to analyze the relationship with SRH using binomial logistic regression analysis. Results: The results showed SRH of pediatric patients with T1DM who did not engage in regular PA was significantly lower than those who did (OR in regular PA = .199 [95% CI: .040, .995]; OR in regular muscle strength exercise = .097 [95% CI: .023, .825]). Conclusions: In conclusion, regular PA and muscle strength exercise in pediatric patients with T1DM who lacked diabetes care were effective in improving their SRH. A systematic plan is required to enhance regular PA for pediatric patients with T1DM.


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