Endocrine Abstracts (2010) 22 P304

Psychological rehabilitation efficiency in adolescents with type 1 diabetes

Mariya Rusalenko1,2 & Tatiana Mokhort1,2

1The Republican Research Center for Radiation Medicine and Human Ecology, Gomel, Belarus; 2Belarussian State Medical University, Minsk, Belarus.

Objective: To estimate psychological rehabilitation efficiency at adolescents with T1DM.

Materials and methods: Total 58 adolescents with T1DM (30m, 28f), mean age (M±σ) 15.1±2.8 years (13.00–18.00), age of T1DM manifestation 5.1±3.9 years, were provided with the PedsQL4.0 questionnaire, scales of psychological well-being (SPWB). The rehabilitation program was developed: medical unit (lessons in diabetes school and doctor’s consultations) and psychological unit (individual and group lessons with psychologist). HbA1c (%) was measured by biochemical analyzer ‘ARCHITECT c8000’ (Abbott). The self-control was measured by number of measurements of glycemia level per month. The program was fully carried out with group I (n=30), with group II (n=10) – only the medical unit was performed, with group III (n=18) the rehabilitation was not carried out. In 1 and 3 months the efficiency was estimated by indicators of PedsQL4.0, SPWB, self-control and HbA1c level.

Results: In 1 month, in group I the self-control frequency increased (77.5±4.45; P<0.01), there were also increased the emotional functioning (88.0±1.37; P<0.01), school life level (87.1±1.18; P<0.01), commutability (78.5±2.29; P<0.01), positive attitude to people surrounding (64.8±2.26; P<0.05), autonomy (61.2±1.53; P<0.01) and personal growth (66.7±1.43; P<0.01), while treatment barriers decreased (88.5±1.57; P<0.01). In 3 months the diabetic symptom manifestation decreased (77.6±2.10; P<0.01), there were improved the treatment regime observance (87.8±1.63; P<0.01), life aims (65.6±0.58; P<0.05), self-acceptance (65.7±0.65; P<0.01), HbA1c (8.78±0.25; P<0.01).

In 1 month, in group II the treatment barriers decreased (91.4±2.84; P<0.05), there were improved the treatment regime observance (88.4±2.23; P<0.05), school functioning (75.5±2.63; P<0.05), self-control (75.5±10.97; P<0.05). In 3 months there was observed the increase in treatment regime observance level (89.8±1.71; P<0.05) as well as in self-control level (77.0±5.78; P<0.05). In 1 and 3 months, group III did not show any differences by PedsQL4.0, SPWB, self-control and HbA1c level.

Conclusion: The rehabilitation of adolescents with T1DM is highly effective within psychological correction implementation, based on study of QOL and SPWB.

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