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Enfermería Global

On-line version ISSN 1695-6141

Abstract

MERCADER-ALBALADEJO, Beatriz; BLANCO-SOTO, Maria Vicenta; ROLDAN-CHICANO, María Teresa  and  RODRIGUEZ-TELLO, Javier. Influence of continuous subcutaneous insulin infusion in the control of type 1 diabetes in children. Enferm. glob. [online]. 2018, vol.17, n.49, pp.68-95.  Epub Jan 01, 2018. ISSN 1695-6141.  http://dx.doi.org/10.6018/eglobal.17.1.268361.

Diabetes mellitus type 1 is the most frequent endocrinological chronic disease during childhood. Self-care and the knowledge about this disease are the facts that are directly related to the reduction of health costs as well as the improvement of the life quality. The continuous subcutaneous insulin infusion pump (CSII) emulates the normal physiology and eliminates the need of continuous injections, remaining to determinate if this treatment contributes positively to the self-control of the diabetes.

Didactic Materials and Methods:

Retrospective cohort study. The data collection is made by a survey based on the NOC’s “Conocimiento: control de la diabetes” (Knowledge: diabetes control) and “Autocontrol diabetes” (Diabetes self-care) of all the children with continuous subcutaneous insulin infusion pump (CSII) at the health area number 2 from the Region of Murcia, as well as to their homologous with multiple injection. To draw the results, the statistic program SPSS v21, was the one used.

Results:

The study subjects have an average age of 11 years, being the 60% male and 40% female. Statistical significance was not obtained concerning to the level of knowledge, self-control and HbA1c values between the exposed group (CSII) and nonexposed group (multiple injection), except for the diet monitoring, where there was obtained a connection with the CSII treatment (p=0.037). The age was also related to a knowledge increasement (p=0.001).

Conclusion:

Households units with children under 7 years with multiple injections should have a more intense training in order to reduce the anxiety and doubts of the parents.

Keywords : insulin pump; paediatrics; self-care; knowledge; diabetes mellitus type 1.

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