Diabetes self-management, depressive symptoms, quality of life and metabolic control in youth with type 1 diabetes in China
Aims and objectives To assess diabetes self‐management, depressive symptoms, quality of life and metabolic control in a cohort of youth with type 1 diabetes in mainland China. Predictors of self‐management and depressive symptoms were also explored. Background Studies have shown that adaptation to c...
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| Published in | Journal of clinical nursing Vol. 22; no. 1-2; pp. 69 - 79 |
|---|---|
| Main Authors | , , , , , |
| Format | Journal Article |
| Language | English |
| Published |
England
Blackwell Publishing Ltd
01.01.2013
Wiley Subscription Services, Inc |
| Subjects | |
| Online Access | Get full text |
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| Abstract | Aims and objectives
To assess diabetes self‐management, depressive symptoms, quality of life and metabolic control in a cohort of youth with type 1 diabetes in mainland China. Predictors of self‐management and depressive symptoms were also explored.
Background
Studies have shown that adaptation to childhood chronic illness is important in determining outcomes. Few studies have been reported on the behavioural, psychosocial and physiological adaptation processes and outcomes in Chinese youth with type 1 diabetes.
Design
This is a cross‐sectional study as part of a multi‐site longitudinal descriptive study. Data for this report were collected at baseline.
Methods
A convenience sample of 136 eligible youth was recruited during follow‐up visits in hospitals in 14 major cities of Hunan Province (located in central southern mainland China) from July 2009–October 2010. Data were collected on socio‐demographic background, clinical characteristics, diabetes self‐management, depressive symptoms, quality of life and metabolic control.
Results
Diabetes self‐management was lower in Chinese youth compared with a US cohort and was associated with insulin treatment regimen, treatment location, depressive symptoms and gender. A total of 17·6% of youth reported high depressive symptoms, and depressive symptoms were correlated with family annual revenue, school attendance, peer relationship and parent–child relationship. The mean score of global satisfaction with quality of life was 17·14 ± 3·58. The mean HbA1c was 9·68%.
Conclusions
Living with type 1 diabetes poses considerable challenges, and Chinese youth report lower self‐management than US youth and high depressive symptoms. Metabolic control and quality of life were sub‐optimal.
Relevance to clinical practice
More clinic visits, treatment for high depressive symptoms and an intensive insulin regimen may improve diabetes self‐management for youth with type 1 diabetes in China. Culturally appropriate interventions aimed at helping them adapt to living with the disease and improving outcomes are urgently needed. |
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| AbstractList | Aims and objectives
To assess diabetes self‐management, depressive symptoms, quality of life and metabolic control in a cohort of youth with type 1 diabetes in mainland China. Predictors of self‐management and depressive symptoms were also explored.
Background
Studies have shown that adaptation to childhood chronic illness is important in determining outcomes. Few studies have been reported on the behavioural, psychosocial and physiological adaptation processes and outcomes in Chinese youth with type 1 diabetes.
Design
This is a cross‐sectional study as part of a multi‐site longitudinal descriptive study. Data for this report were collected at baseline.
Methods
A convenience sample of 136 eligible youth was recruited during follow‐up visits in hospitals in 14 major cities of Hunan Province (located in central southern mainland China) from July 2009–October 2010. Data were collected on socio‐demographic background, clinical characteristics, diabetes self‐management, depressive symptoms, quality of life and metabolic control.
Results
Diabetes self‐management was lower in Chinese youth compared with a
US
cohort and was associated with insulin treatment regimen, treatment location, depressive symptoms and gender. A total of 17·6% of youth reported high depressive symptoms, and depressive symptoms were correlated with family annual revenue, school attendance, peer relationship and parent–child relationship. The mean score of global satisfaction with quality of life was 17·14 ± 3·58. The mean HbA1c was 9·68%.
Conclusions
Living with type 1 diabetes poses considerable challenges, and Chinese youth report lower self‐management than
US
youth and high depressive symptoms. Metabolic control and quality of life were sub‐optimal.
Relevance to clinical practice
More clinic visits, treatment for high depressive symptoms and an intensive insulin regimen may improve diabetes self‐management for youth with type 1 diabetes in China. Culturally appropriate interventions aimed at helping them adapt to living with the disease and improving outcomes are urgently needed. Aims and objectives To assess diabetes self‐management, depressive symptoms, quality of life and metabolic control in a cohort of youth with type 1 diabetes in mainland China. Predictors of self‐management and depressive symptoms were also explored. Background Studies have shown that adaptation to childhood chronic illness is important in determining outcomes. Few studies have been reported on the behavioural, psychosocial and physiological adaptation processes and outcomes in Chinese youth with type 1 diabetes. Design This is a cross‐sectional study as part of a multi‐site longitudinal descriptive study. Data for this report were collected at baseline. Methods A convenience sample of 136 eligible youth was recruited during follow‐up visits in hospitals in 14 major cities of Hunan Province (located in central southern mainland China) from July 2009–October 2010. Data were collected on socio‐demographic background, clinical characteristics, diabetes self‐management, depressive symptoms, quality of life and metabolic control. Results Diabetes self‐management was lower in Chinese youth compared with a US cohort and was associated with insulin treatment regimen, treatment location, depressive symptoms and gender. A total of 17·6% of youth reported high depressive symptoms, and depressive symptoms were correlated with family annual revenue, school attendance, peer relationship and parent–child relationship. The mean score of global satisfaction with quality of life was 17·14 ± 3·58. The mean HbA1c was 9·68%. Conclusions Living with type 1 diabetes poses considerable challenges, and Chinese youth report lower self‐management than US youth and high depressive symptoms. Metabolic control and quality of life were sub‐optimal. Relevance to clinical practice More clinic visits, treatment for high depressive symptoms and an intensive insulin regimen may improve diabetes self‐management for youth with type 1 diabetes in China. Culturally appropriate interventions aimed at helping them adapt to living with the disease and improving outcomes are urgently needed. To assess diabetes self-management, depressive symptoms, quality of life and metabolic control in a cohort of youth with type 1 diabetes in mainland China. Predictors of self-management and depressive symptoms were also explored. Studies have shown that adaptation to childhood chronic illness is important in determining outcomes. Few studies have been reported on the behavioural, psychosocial and physiological adaptation processes and outcomes in Chinese youth with type 1 diabetes. This is a cross-sectional study as part of a multi-site longitudinal descriptive study. Data for this report were collected at baseline. A convenience sample of 136 eligible youth was recruited during follow-up visits in hospitals in 14 major cities of Hunan Province (located in central southern mainland China) from July 2009-October 2010. Data were collected on socio-demographic background, clinical characteristics, diabetes self-management, depressive symptoms, quality of life and metabolic control. Diabetes self-management was lower in Chinese youth compared with a US cohort and was associated with insulin treatment regimen, treatment location, depressive symptoms and gender. A total of 17.6% of youth reported high depressive symptoms, and depressive symptoms were correlated with family annual revenue, school attendance, peer relationship and parent-child relationship. The mean score of global satisfaction with quality of life was 17.14 ± 3.58. The mean HbA1c was 9.68%. Living with type 1 diabetes poses considerable challenges, and Chinese youth report lower self-management than US youth and high depressive symptoms. Metabolic control and quality of life were sub-optimal. AIMS AND OBJECTIVESTo assess diabetes self-management, depressive symptoms, quality of life and metabolic control in a cohort of youth with type 1 diabetes in mainland China. Predictors of self-management and depressive symptoms were also explored.BACKGROUNDStudies have shown that adaptation to childhood chronic illness is important in determining outcomes. Few studies have been reported on the behavioural, psychosocial and physiological adaptation processes and outcomes in Chinese youth with type 1 diabetes.DESIGNThis is a cross-sectional study as part of a multi-site longitudinal descriptive study. Data for this report were collected at baseline.METHODSA convenience sample of 136 eligible youth was recruited during follow-up visits in hospitals in 14 major cities of Hunan Province (located in central southern mainland China) from July 2009-October 2010. Data were collected on socio-demographic background, clinical characteristics, diabetes self-management, depressive symptoms, quality of life and metabolic control.RESULTSDiabetes self-management was lower in Chinese youth compared with a US cohort and was associated with insulin treatment regimen, treatment location, depressive symptoms and gender. A total of 17·6% of youth reported high depressive symptoms, and depressive symptoms were correlated with family annual revenue, school attendance, peer relationship and parent-child relationship. The mean score of global satisfaction with quality of life was 17·14 ± 3·58. The mean HbA1c was 9·68%.CONCLUSIONSLiving with type 1 diabetes poses considerable challenges, and Chinese youth report lower self-management than US youth and high depressive symptoms. Metabolic control and quality of life were sub-optimal.RELEVANCE TO CLINICAL PRACTICEMore clinic visits, treatment for high depressive symptoms and an intensive insulin regimen may improve diabetes self-management for youth with type 1 diabetes in China. Culturally appropriate interventions aimed at helping them adapt to living with the disease and improving outcomes are urgently needed. To assess diabetes self-management, depressive symptoms, quality of life and metabolic control in a cohort of youth with type 1 diabetes in mainland China. Predictors of self-management and depressive symptoms were also explored. Studies have shown that adaptation to childhood chronic illness is important in determining outcomes. Few studies have been reported on the behavioural, psychosocial and physiological adaptation processes and outcomes in Chinese youth with type 1 diabetes. This is a cross-sectional study as part of a multi-site longitudinal descriptive study. Data for this report were collected at baseline. A convenience sample of 136 eligible youth was recruited during follow-up visits in hospitals in 14 major cities of Hunan Province (located in central southern mainland China) from July 2009-October 2010. Data were collected on socio-demographic background, clinical characteristics, diabetes self-management, depressive symptoms, quality of life and metabolic control. Diabetes self-management was lower in Chinese youth compared with a US cohort and was associated with insulin treatment regimen, treatment location, depressive symptoms and gender. A total of 17·6% of youth reported high depressive symptoms, and depressive symptoms were correlated with family annual revenue, school attendance, peer relationship and parent-child relationship. The mean score of global satisfaction with quality of life was 17·14 ± 3·58. The mean HbA1c was 9·68%. Living with type 1 diabetes poses considerable challenges, and Chinese youth report lower self-management than US youth and high depressive symptoms. Metabolic control and quality of life were sub-optimal. More clinic visits, treatment for high depressive symptoms and an intensive insulin regimen may improve diabetes self-management for youth with type 1 diabetes in China. Culturally appropriate interventions aimed at helping them adapt to living with the disease and improving outcomes are urgently needed. To assess diabetes self-management, depressive symptoms, quality of life and metabolic control in a cohort of youth with type 1 diabetes in mainland China. Predictors of self?management and depressive symptoms were also explored. Studies have shown that adaptation to childhood chronic illness is important in determining outcomes. Few studies have been reported on the behavioural, psychosocial and physiological adaptation processes and outcomes in Chinese youth with type 1 diabetes. This is a cross-sectional study as part of a multi-site longitudinal descriptive study. Data for this report were collected at baseline. A convenience sample of 136 eligible youth was recruited during follow-up visits in hospitals in 14 major cities of Hunan Province (located in central southern mainland China) from July 2009-October 2010. Data were collected on socio-demographic background, clinical characteristics, diabetes self-management, depressive symptoms, quality of life and metabolic control. Diabetes self-management was lower in Chinese youth compared with a US cohort and was associated with insulin treatment regimen, treatment location, depressive symptoms and gender. A total of 17·6% of youth reported high depressive symptoms, and depressive symptoms were correlated with family annual revenue, school attendance, peer relationship and parent-child relationship. The mean score of global satisfaction with quality of life was 17·14 ±  ;3·58. The mean HbA1c was 9·68%. Living with type 1 diabetes poses considerable challenges, and Chinese youth report lower self-management than US youth and high depressive symptoms. Metabolic control and quality of life were sub?optimal. More clinic visits, treatment for high depressive symptoms and an intensive insulin regimen may improve diabetes self-management for youth with type 1 diabetes in China. Culturally appropriate interventions aimed at helping them adapt to living with the disease and improving outcomes are urgently needed. 56 references |
| Author | Whittemore, Robin Zhou, Zhi-Guang He, Guo-Ping Grey, Margaret Wang, Jing Guo, Jia |
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| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/23106340$$D View this record in MEDLINE/PubMed |
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To assess diabetes self‐management, depressive symptoms, quality of life and metabolic control in a cohort of youth with type 1 diabetes in... To assess diabetes self-management, depressive symptoms, quality of life and metabolic control in a cohort of youth with type 1 diabetes in mainland China.... AIMS AND OBJECTIVESTo assess diabetes self-management, depressive symptoms, quality of life and metabolic control in a cohort of youth with type 1 diabetes in... |
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| SubjectTerms | Adolescent Adult Child Children & youth China Cross-Sectional Studies cross-sectional survey Depression - complications depressive symptoms Diabetes Diabetes Mellitus, Type 1 - complications Diabetes Mellitus, Type 1 - drug therapy Diabetes Mellitus, Type 1 - metabolism Diabetes Mellitus, Type 1 - physiopathology Disease management Female Humans Insulin - therapeutic use International comparisons Male metabolic control Metabolism Nursing Quality of Life Self Care self-management type 1 diabetes Young Adult youth |
| Title | Diabetes self-management, depressive symptoms, quality of life and metabolic control in youth with type 1 diabetes in China |
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