Association between parental burden and glycemic control in children with diabetes mellitus type 1
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Abstract
Objective: To assess the perceived parental burden associated with caring for children with diabetes and the association between parental burden and glycemic control in children with type 1 diabetes mellitus at King Chulalongkorn Memorial Hospital.
Methods: This was a cross-sectional study. Participants were the pairs of parents and children diagnosed with type 1 Diabetes Mellitus aged 8-18 years old, who were receiving treatment at King Chulalongkorn Memorial Hospital from November 2021 to April 2022. A questionnaire was used to assess demographic data, perceive parental burden associated with diabetes care (by PAID-PR Thai version), parental depression and anxiety (by HADS Thai version), and child’s quality of life (by PedsQL4.0 Thai version). Glycemic control (HbA1c) and comorbidity were collected from electronic medical records. The population’s demographic data and questionnaire scores were presented in descriptive statistics of percentage, mean, minimum-maximum values, and standard deviation. The inferential statistics were analyzed for parental burden in relation to other psychosocial factors and glycemic control by Independent T-test and multiple logistic regression.
Results: Mean PAID-PR score (parental burden) was 36.34±22.86 of 100. There was a significant difference in the mean of parental burden score between the good glycemic control group and the poor glycemic control group (t = 2.40, P = 0.020, Cohen’s d = 0.74). There was no significant association between other studied factors and glycemic control in this study.
Conclusion: Our results showed a significant association between parental burden and glycemic control in children with Diabetes Mellitus type 1, we suggested that the emotional well-being of parents or caregivers of youth with diabetes should be managed properly since these may improve glycemic control of pediatric patients.
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บทความหลังผ่านการปรับแก้จากกองบรรณาธิการแล้ว เป็นลิขสิทธ์ของวารสารจิตเวชวิทยาสาร โรงพยาบาลสวนปรุง กรมสุขภาพจิต กระทรวงสาธารณสุข ห้ามเผยแพร่เพื่อประโยชน์ทางการค้าโดยไม่ได้รับอนุญาต แต่อนุญาตให้เผยแพร่บทความดังกล่าวเพื่อประโยชน์ทางการศึกษาแก่ประชาชนทั่วไป ทั้งนี้กองบรรณาธิการไม่จำเป็นต้องเห็นด้วยกับบทความหรือข้อคิดเห็นใดๆ ที่ปรากฏในวารสารสวนปรุง
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