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Qualidade de vida e controlo metabólico em adolescentes portugueses com diabetes mellitus tipo 1
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Resumo(s)
O tratamento da DM1 visa atingir e manter bom CM, mas cada vez mais o bem-estar físico, mental e social é tido em consideração. No adolescente com DM1, um dos objectivos do tratamento é uma boa QV.
O objectivo principal deste estudo foi avaliar a QV de adolescentes portugueses com DM1 em regime de tratamento intensivo e a sua associação com o CM.
Participaram no estudo 179 adolescentes (52,5% de rapazes, 70,4% normoponderais) com idade média de 14,3 anos, com duração da doença média de 6,4 anos que foram avaliados quanto à idade, IMC, duração da DM1, CM, QV, apoio na gestão da doença e felicidade.
Os principais resultados revelaram que quanto maior a QV dos adolescentes melhor CM (p<0,05), que o sexo masculino e menor IMC se associaram a maior QV (p<0,05), que o apoio na escola é importante para obter melhor CM (p<0,01), que o apoio dos pais, amigos e escola na gestão da doença melhora a QV(p<0,01), que a relação do adolescente com a DM1 influencia positivamente o CM e a QV(p<0,01), que a percepção de felicidade se associou melhor CM, maior QV e melhor aceitação da DM1(p<0,01). A variação da QV é explicada em 53,3% dos casos pelo apoio dos pais, o apoio na escola, a aceitação da DM1 e a percepção de felicidade. A relação com a DM1 justifica 25,6% da variação dos níveis de HbA1c.
Estes resultados demonstram a importância da QV, do envolvimento da família/comunidade na gestão da DM1 e da aceitação da doença na optimização do CM.
The objective of treatment of type1 Diabetes (DM1) is to achieve and maintain good metabolic control (CM), but taken into consideration the physical, mental and social well-being . In adolescents with type 1 diabetes, one of the aims of treatment is a good Quality of Life (QV). The main objective of this study was to evaluate the QV of Portuguese adolescents with DM1 in intensified insulin therapy and the association with the CM. The sample was constituted of 179 adolescents (52.5% boys, 70.4% normal weight) with a mean age of 14.3 years, mean disease duration of 6.4 years and was evaluated for age, BMI, duration of DM1 , CM, QV, support in disease management and happiness. The main results showed that the higher the QV of adolescents the better CM (p <0.05), be male and lower BMI were associated with higher QV (p <0.05), support at school is important for best CM (p <0.01), support of parents, friends and school in disease management improves QV (p <0.01), acceptance of DM1 positively influences the CM and QOL (p <0.01), perception of happiness was associated with better CM, QV e acceptance of DM1 (p <0.01). The QV is explained in 53.3% of cases by the support of parents, school support, acceptance of DM1 and perception of happiness. The relationship with DM1 justifies 25.6% of the variation in HbA1c levels. These results show the importance of QV, the family/community involvement in the management of DM1 and acceptance of the disease to optimize CM.
The objective of treatment of type1 Diabetes (DM1) is to achieve and maintain good metabolic control (CM), but taken into consideration the physical, mental and social well-being . In adolescents with type 1 diabetes, one of the aims of treatment is a good Quality of Life (QV). The main objective of this study was to evaluate the QV of Portuguese adolescents with DM1 in intensified insulin therapy and the association with the CM. The sample was constituted of 179 adolescents (52.5% boys, 70.4% normal weight) with a mean age of 14.3 years, mean disease duration of 6.4 years and was evaluated for age, BMI, duration of DM1 , CM, QV, support in disease management and happiness. The main results showed that the higher the QV of adolescents the better CM (p <0.05), be male and lower BMI were associated with higher QV (p <0.05), support at school is important for best CM (p <0.01), support of parents, friends and school in disease management improves QV (p <0.01), acceptance of DM1 positively influences the CM and QOL (p <0.01), perception of happiness was associated with better CM, QV e acceptance of DM1 (p <0.01). The QV is explained in 53.3% of cases by the support of parents, school support, acceptance of DM1 and perception of happiness. The relationship with DM1 justifies 25.6% of the variation in HbA1c levels. These results show the importance of QV, the family/community involvement in the management of DM1 and acceptance of the disease to optimize CM.
Descrição
Tese de mestrado, Medicina do Adolescente, Faculdade de Medicina, Universidade de Lisboa, 2013
Palavras-chave
Diabetes tipo 1 Controlo metabólico Qualidade de vida Adolescentes Teses de mestrado - 2013